Darrell R Stacey MD

NPI 1053326314 - Family Medicine - 207Q00000X

NPI Details
NPI 1053326314
Gender Male
Enumeration Date 07/29/2006
Last Updated 06/16/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
505 W 400 N
OREM UT, 84057-1950, US
Phone (801) 714-3450
Business Location
PO BOX 27128
SALT LAKE CITY UT, 84127-0128, US
Phone (801) 714-3450
Taxonomy Code 207Q00000X
License State Utah
License Number 831706301205
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According to our database, Darrell R Stacey MD NPI is 1053326314, taxonomy code is 207Q00000X and license number is 831706301205, license state is located at Utah. Darrell R Stacey MD physically located at 505 W 400 N, Orem UT, 84057-1950. NPI Number Darrell R Stacey MD has the Individual type.

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1053326314 NPI number is provided on an as is basis without warranty of any kind. 1053326314 is maintained by the National Plan & Provider Enumeration System. The contents of Darrell R Stacey MD are for informational purposes only.