STACEY BANK MD PC

SALT LAKE CITY, UT
NPI1134206311
Entity TypeOrganization
Authorized ContactSTACEY BANK
Presdent
801-892-0135
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  53919971205)
Enumeration Date2006-11-01
Last Update Date2020-08-22
Business Address
STACEY BANK MD PC
1151 E 3900 S STE B299
SALT LAKE CITY, UT 84124-1216
Phone number: 801-892-0135
Mailing Address
STACEY BANK MD PC
1151 E 3900 S STE B299
SALT LAKE CITY, UT 84124-1216
Phone number: 801-892-0135
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