person
Breanna Paige Stafford, MD
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1548963176

Breanna Paige Stafford is a Student in an Organized Health Care Education/Training Program based in Denver, UT. Breanna Paige Stafford practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Breanna Paige Stafford is 1548963176 and holds a License No. (Utah).

The current practice location address for Breanna Paige Stafford is 50 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 970-630-5003.

Location: 50 N Medical Dr, Salt Lake City, UT, 80212-2905
person
Provider Profile Details
NPI Number
1548963176
Provider Name
Breanna Paige Stafford
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
50 N Medical Dr, Salt Lake City, UT, 80212-2905
Phone Number
970-630-5003
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
970-630-5003
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
970-630-5003
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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