Organization
STEWART L ELLINGTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART L ELLINGTON MD (PHYSICIAN)
(801) 364-5767
Entity
Organization
Contact information
Practice address
24 SOUTH1100 EAST, SUITE 103, SALT LAKE CITY, UT 84102
(801) 364-5767
(801) 531-9704
Mailing address
24 SOUTH1100 EAST, SUITE 103, SALT LAKE CITY, UT 84102
(801) 364-5767
(801) 531-9704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
156919-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240662791005
—
UT
Enumeration date
09/09/2010
Last updated
09/09/2010
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