# STEPHEN H BENNETT MD PC

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

## Provider details

- **NPI number:** 1932407277
- **Authorized official:** DR. STEPHEN BENNETT MD (OWNER)
- **Authorized official phone:** (801) 266-4212

## Contact information

- **Practice address:** 1045 E 3900 S STE 201, SALT LAKE CITY, UT 84124-1192
- **Practice address phone:** (801) 266-4212
- **Mailing address:** 1045 E 3900 S STE 201, SALT LAKE CITY, UT 84124-1192
- **Mailing address phone:** (801) 266-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 161245-1205 | UT | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 06/25/2012