Individual
CHARLES HERBERT STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 N UNIVERSITY AVE, SUITE 200, PROVO, UT 84604-6656
(801) 375-4100
(801) 427-3251
Mailing address
3650 N UNIVERSITY AVE, SUITE 200, PROVO, UT 84604-6656
(801) 375-4100
(801) 427-3251
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
167503-1205
UT
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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