STEPHANIE AILEEN CHAN CRAVEN

SALT LAKE CITY, UT
NPI1740608686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: UT  9538343-1205)
Additional Taxonomies207R00000X Internal Medicine
(Licence: UT  9538343-1205)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-03-28
Last Update Date2022-03-08
Business Address
STEPHANIE AILEEN CHAN CRAVEN MD
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-5701
Phone number: 801-507-4384
Mailing Address
STEPHANIE AILEEN CHAN CRAVEN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-507-4384