NPI 1962909937

Jacob Ryan Stewart, MD

Practitioner MOHS-Micrographic Surgery Physician North Logan, UT

Practice location

Address: 2245 N 400 E STE 104, North Logan, UT 84341-1785
Phone: (435) 752-5741

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 12745059-1205 (UT)

Other Dermatology providers in Utah →

Registry record

NPI: 1962909937
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2018
Record last updated: 29 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.