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Individual

DR. JOSHUA OWEN STREAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 N 1900 E, ROOM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 793-4805
Mailing address
30 N 1900 E, ROOM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 793-4805

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7151055-1205
UT

Other

Enumeration date
11/11/2008
Last updated
11/11/2008
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