Individual
STEPHEN G ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1160 E 3900 S, #5000, SALT LAKE CITY, UT 84124-1275
(801) 262-8486
(801) 262-9752
Mailing address
1160 E 3900 S, #5000, SALT LAKE CITY, UT 84124-1275
(801) 262-8486
(801) 262-9752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51877361206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054555
NCCPA
UT
01
—
P00054599
RAILROAD MEDICARE
UT
Enumeration date
06/14/2006
Last updated
03/07/2023
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