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Organization
STEVEN C FUNK MD PC
Active
Organization
STEVEN C FUNK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CHARLES FUNK M.D. (PRESIDENT)
(435) 760-9961
Entity
Organization
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000
Mailing address
PO BOX 6042, TWIN FALLS, ID 83303-6042
(208) 734-2087
(208) 736-4556
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
97-334315 1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215128913
—
UT
Enumeration date
08/07/2007
Last updated
04/13/2008
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