Individual
JOSHUA STAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4403 HARRISON BLVD STE 2645, OGDEN, UT 84403-3278
(801) 387-2880
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 824-5108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9526068-1206
UT
363AM0700X
Medical Physician Assistant
9526068-1206
UT
Other
Enumeration date
09/01/2015
Last updated
07/26/2024
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