Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STUART ELIOT WILLICK, MD
ActivePhysical Medicine & Rehabilitation · PARK CITY, UT
Registration Details
- NPI Number
- 1720169915
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.552641062412 yrs)
- Last Updated
- Dec 20, 2021
- Licenses
-
371707-1205 (UT)371707-1205 (UT)
Practice Information
- Address
-
1493 LOWELL AVEPARK CITY, UT, 84060Browse UT providers · Browse ZIP 84060
- Phone
- 4356557970
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. WAYNE L STOKES | MD | 1871622985 |
| DR. FREDA LYNN DREHER | M.D. | 1811195191 |
| TODD MICHAEL OLSON | OTR/L | 1124716139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.