Individual
DR. JASON M STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1492 W ANTELOPE DR, SUITE 125, LAYTON, UT 84041-1139
(801) 525-3022
(801) 775-9508
Mailing address
1121 E 3900 S, SUITE C-240, SALT LAKE CITY, UT 84124-1214
(801) 262-9494
(801) 266-2074
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
M9050
ID
207RX0202X
Medical Oncology Physician
Primary
379443-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107055831101
SELECT HEALTH
UT
01
—
P00388855
RAILROAD MEDICARE
UT
01
—
QMP000003378087
MOLINA
UT
Enumeration date
08/29/2006
Last updated
10/10/2016
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