Individual
STEPHEN S STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10011 CENTENNIAL PKWY, SANDY, UT 84070-4156
(801) 993-9527
(801) 733-5872
Mailing address
PO BOX 708342, SANDY, UT 84070-8342
(801) 641-1597
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
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