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1285824748
STEPHEN G PROTAS
SALT LAKE CITY, UT
NPI
1285824748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 0967)
Enumeration Date
2007-07-30
Last Update Date
2007-07-30
Business Address
-- STEPHEN G PROTAS D.O.
275 E 200 S
SALT LAKE CITY, UT 84111-2002
Phone number: 800-366-1884
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Mailing Address
-- STEPHEN G PROTAS D.O.
7210 N 16TH DR
PHOENIX, AZ 85021-7926
Phone number: 602-570-6856
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