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1417981234
RYAN J STOLWORTHY
LOGAN, UT
NPI
1417981234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: UT 5110139)
Enumeration Date
2006-07-10
Last Update Date
2007-11-15
Business Address
RYAN J STOLWORTHY MD
1400 N 500 E
LOGAN, UT 84341
Phone number: 435-716-1000
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Mailing Address
RYAN J STOLWORTHY MD
PO BOX 25535
SALT LAKE CITY, UT 84125
Phone number: 866-898-7136
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