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Individual

STEPHEN S STEWART

Active
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Individual

STEPHEN S STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4957840-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107012146101
IHC
UT
01
2000033
UNITED HEALTHCARE
UT
01
49578404400001
BCBS
UT
01
740580
DESERET MUTUAL
UT
01
841401924
PHCS
UT
01
841401924STE
EDUCATORS MUTUAL
UT
01
PRA07032
MOLINA
UT
01
QM0000055933
ALTIUS
UT
Enumeration date
09/16/2006
Last updated
08/19/2011
Update your record

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