Individual
DR. WAYNE L STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1743 REDSTONE CENTER DR, STE. 115, PARK CITY, UT 84098-7929
(435) 658-9200
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 587-6600
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5574948-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506120
—
NV
05
—
807019600
—
ID
05
—
D5827
—
UT
Enumeration date
03/05/2007
Last updated
07/08/2007
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