Stacey Bank MD PC

NPI #1134206311 in Salt Lake City, Utah

Provider Information

NPI Number: 1134206311
Entity Type: Organization
Organization Name: Stacey Bank MD PC
Primary Specialty: Family Medicine
Enumeration Date: Nov 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1151 E 3900 S
Address 2: STE B299
City: Salt Lake City
State: Utah
ZIP Code: 84124-1216
Phone: (801) 892-0135

Authorized Official

Name: STACEY BANK, MD
Title: PRESDENT
Phone: (801) 892-0135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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