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Individual

STEPHEN B DEVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12391 S 4000 W, RIVERTON, UT 84065
(801) 302-1760
(801) 302-1714
Mailing address
12391 S 4000 W, RIVERTON, UT 84065
(801) 302-1760
(801) 302-1714

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60902561205
UT

Other

Enumeration date
07/13/2006
Last updated
05/14/2013
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