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NPI Code Detail

MEDICARE: STEFANI JANE DAY MD

MEDICARE: STEFANI JANE DAY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician376416-1205UT

General Provider Information

NPI Number : 1265439236
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANI JANE DAY MD
Provider Business Mailing Address
First Line : 1665 BONANZA DR
Second Line :
City : PARK CITY
State : UT
Zip : 84060-5127
Country : US
Telephone Number : 435-649-7640
Fax Number : 435-645-7768
Provider Business Practice Location Address
First Line : 1665 BONANZA DR
Second Line :
City : PARK CITY
State : UT
Zip : 84060-5127
Country : US
Telephone Number : 435-649-7640
Fax Number : 435-645-7768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 06/24/2011

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Directions to “ STEFANI JANE DAY MD” Practice Location

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