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1235218801
SCOTT R STIEFEL
PROVO, UT
NPI
1235218801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: UT 183421-1205)
Enumeration Date
2006-11-03
Last Update Date
2017-04-14
Business Address
-- SCOTT R STIEFEL
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-852-9440
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Mailing Address
-- SCOTT R STIEFEL
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-852-9440
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