Individual
DR. STANFORD S. PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 10TH AVE STE 178, SALT LAKE CITY, UT 84103-2885
(801) 408-2500
(801) 408-1410
Mailing address
324 10TH AVE STE 178, SALT LAKE CITY, UT 84103-2885
(801) 408-2500
(801) 408-1410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
55258881205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55258881205
STATE LICENSE
UT
Enumeration date
05/24/2007
Last updated
07/08/2007
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