Jack Edward Stephens, M.D.

NPI #1073991915 in Ogden, Utah

Provider Information

NPI Number: 1073991915
Entity Type: Individual
Name: Jack Edward Stephens, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 12, 2015
Last Updated: Jun 21, 2018

Practice Location

Address: 4401 HARRISON BLVD
City: Ogden
State: Utah
ZIP Code: 84403
Phone: (801) 387-3709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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