MEDICARE: DON L STROMQUIST M.D.

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	207RR0500X	Rheumatology Physician	18487-1205	UT

General Provider Information

NPI Number	:	1841240330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON L STROMQUIST M.D.

Provider Business Mailing Address
First Line	:	154 MYRTLE AVE
Second Line	:	SUITE 204
City	:	MURRAY
State	:	UT
Zip	:	84107-4833
Country	:	US
Telephone Number	:	801-266-9300
Fax Number	:	801-266-9305

Provider Business Practice Location Address
First Line	:	154 MYRTLE AVE
Second Line	:	SUITE 204
City	:	MURRAY
State	:	UT
Zip	:	84107-4833
Country	:	US
Telephone Number	:	801-266-9300
Fax Number	:	801-266-9305

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	11/23/2021

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Directions to “ DON L STROMQUIST M.D.” Practice Location

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