# MARK STEFFENSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912006016
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 87-177636-1205 | UT | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 07/17/2009

## 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 |