Individual
MADISON STUMPF I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 W UNIVERSITY PKWY, OREM, UT 84058-6703
(360) 607-2775
Mailing address
1963 S 1200 E APT 603, SALT LAKE CITY, UT 84105-3528
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10457472-4810
UT
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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