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Contact Information

STEWART L ELLINGTON MD PC
24 SOUTH1100 EAST
SUITE 103
SALT LAKE CITY, UT84102
 Phone: 801-364-5767
 Fax: 801-531-9704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for STEWART L ELLINGTON MD PC

NPI Number 1922315084
LBN Legal business name STEWART L ELLINGTON MD PC
Authorized official STEWART ELLINGTON - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2010
Last updated 09/09/2010 - About 16 years ago
Identifiers
UT License # 156919-1205
UT Medicaid 240662791005
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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