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Individual
MARK STEFFENSEN
Active
Individual
MARK STEFFENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
87-177636-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020878700
—
NV
05
—
09071
—
UT
01
—
107006556101
IHC
UT
05
—
119682100
—
WY
01
—
18414
DMBA
UT
01
—
2090168 20-00312
UHC
UT
01
—
37822
PEHP
UT
05
—
804273100
—
ID
05
—
825169
—
AZ
01
—
870545614 84121 A029
TRICARE
UT
01
—
870545614ST2
EDUCATORS MUTUAL
UT
01
—
PRA01907
MOLINA
UT
Enumeration date
09/22/2006
Last updated
07/17/2009
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