# LEO M. STEVENSON, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801154422
- **Authorized official:** LEO M. STEVENSON (OWNER/PRESIDENT)
- **Authorized official phone:** (801) 621-1781

## Contact information

- **Practice address:** 555 E 5300 S, 7, OGDEN, UT 84405-4509
- **Practice address phone:** (801) 621-1781
- **Mailing address:** 555 E 5300 S, 7, OGDEN, UT 84405-4509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 631472211205 | UT | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 05/02/2012