Provider Demographics
NPI:1841240330
Name:STROMQUIST, DON L (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:L
Last Name:STROMQUIST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:154 MYRTLE AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-4833
Mailing Address - Country:US
Mailing Address - Phone:801-266-9300
Mailing Address - Fax:801-266-9305
Practice Address - Street 1:154 MYRTLE AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-4833
Practice Address - Country:US
Practice Address - Phone:801-266-9300
Practice Address - Fax:801-266-9305
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT18487-1205207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000010036Medicare ID - Type UnspecifiedPERSONAL MEDICARE ID
UT005815501Medicare ID - Type UnspecifiedGROUP ID
UTE34507Medicare UPIN