Individual
STEVEN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-1100
(801) 581-2955
Mailing address
PO BOX 3208, SALT LAKE CITY, UT 84110-3208
(801) 587-6340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2202781206
UT
363AM0700X
Medical Physician Assistant
2202781206
UT
Other
Enumeration date
10/25/2006
Last updated
12/20/2021
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