MEDICARE: GREGORY A STONE DO

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
1	207Q00000X	Family Medicine Physician	180477-1204	UT

General Provider Information

NPI Number	:	1750348330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY A STONE DO

Provider Business Mailing Address
First Line	:	3336 S 4155 W, SUITE 204
Second Line	:	WESTERN HILLS MEDICAL CLINIC
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120
Country	:	US
Telephone Number	:	801-912-9700
Fax Number	:	801-912-9710

Provider Business Practice Location Address
First Line	:	3336 S 4155 W, SUITE 204
Second Line	:	WESTERN HILLS MEDICAL CLINIC
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120
Country	:	US
Telephone Number	:	801-912-9700
Fax Number	:	801-912-9710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	08/04/2016

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Directions to “ GREGORY A STONE DO” Practice Location

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