JOSHUA STAM

OGDEN, UT
NPI1831566249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  9526068-1206)
Enumeration Date2015-09-01
Last Update Date2015-09-23
Business Address
-- JOSHUA STAM
4403 HARRISON BLVD STE 2645
OGDEN, UT 84403-3278
Phone number: 801-387-2880
Mailing Address
-- JOSHUA STAM
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-824-5108