Individual
STEPHEN PROSKAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 E 4500 S, SUITE 302, SALT LAKE CITY, UT 84107-3002
(801) 631-8426
(801) 268-3777
Mailing address
860 E 4500 S, SUITE 302, SALT LAKE CITY, UT 84107-3002
(801) 631-8426
(801) 268-3777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5029959-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
5029959-1205
UT
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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