Individual
DR. STEVEN SHI-FONG WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2900
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A62191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A621910
—
CA
05
—
GR0053510
—
CA
Enumeration date
09/21/2006
Last updated
11/26/2013
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