Individual
STEFANIE GAYLE AMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
8831732-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
8831732-8905
UT
Other
Enumeration date
03/30/2012
Last updated
06/08/2023
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