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Individual

HOLLIE MARIE STAPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
280 N HOSPITAL DR, SUITE #2, PRICE, UT 84501-4216
(435) 613-2229
(435) 613-2230
Mailing address
280 N HOSPITAL DR, SUITE #2, PRICE, UT 84501-4216
(435) 613-2229
(435) 613-2230

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
83528071206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12291982
DOB
Enumeration date
06/21/2012
Last updated
05/11/2026
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