Dr Stephan L Ralston, MD is a 
Plastic Surgery physician based in South Ogden, Utah. Dr Stephan L Ralston is licensed to practice in Utah (license number 1648361205) and his current practice location is 1452 E Ridgeline Dr, Suite 100, South Ogden, Utah. He can be reached at his office (for appointments etc.) via phone at 
(801) 479-5937.
NPI number for Dr Stephan L Ralston is 1538237375 and his current mailing address is 1452 E Ridgeline Dr, Suite 100, South Ogden, Utah. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538237375.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Dr Stephan L Ralston | 
|---|
| Gender | Male | 
|---|
| Speciality | Plastic Surgery | 
|---|
| Location | 1452 E Ridgeline Dr, South Ogden, Utah | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1538237375
 - Provider Enumeration Date: 12/01/2006
 - Last Update Date: 07/09/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Stephan L Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1538237375 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 208200000X | Plastic Surgery  | 1648361205 (Utah) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephan L Ralston is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Stephan L Ralston, MD 1452 E Ridgeline Dr, Suite 100, South Ogden, UT 84405-4946 Ph: (801) 479-5937 | Dr Stephan L Ralston, MD 1452 E Ridgeline Dr, Suite 100, South Ogden, UT 84405-4946 Ph: (801) 479-5937 | 
		
		 
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