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1073735015
STACEY CLARDY
SALT LAKE CITY, UT
NPI
1073735015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: UT 8615909-1205)
Enumeration Date
2007-05-02
Last Update Date
2021-11-12
Business Address
STACEY CLARDY M.D. Ph.D.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0100
Phone number: 801-585-6387
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Mailing Address
STACEY CLARDY M.D. Ph.D.
PO BOX 413027
SALT LAKE CITY, UT 84141-3027
Phone number: 801-213-3900
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