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Individual
DR. JEFFREY LEE STEWART
Active
Individual
DR. JEFFREY LEE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5285638-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107019857101
INTERMOUNTAIN HEALTH CARE
UT
01
—
52856380500001
BLUECROSS BLUE SHIELD
UT
01
—
870545030SJL
EDUCATORS MUTUAL
UT
01
—
P00028353
RR MEDICARE
UT
Enumeration date
07/21/2005
Last updated
01/09/2024
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