| Stone Creek Family Practice | |
|
910 E 100 N Ste 105 Payson UT 84651-1635 | |
| (801) 465-1555 | |
| (801) 465-1333 |
| Full Name | Stone Creek Family Practice |
|---|---|
| Speciality | General Practice |
| Location | 910 E 100 N, Payson, Utah |
| Authorized Official Name and Position | Stephen Bret Chipman (DOCTOR/OWNER) |
| Authorized Official Contact | 8014651555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Creek Family Practice 910 E 100 N Ste 105 Payson UT 84651-1635 Ph: (801) 465-1555 | Stone Creek Family Practice 910 E 100 N Ste 105 Payson UT 84651-1635 Ph: (801) 465-1555 |
| NPI Number | 1215198031 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215198031 | NPI | - | NPPES |
| 528398932001 | Medicaid | UT | |
| 000058003 | Other | MEDICAR GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5810651-1205 (Utah) | Primary |
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