Individual
JACOB DOUGLAS STEENECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
697 W 4170 S, MURRAY, UT 84123-1326
(801) 587-2460
Mailing address
697 W 4170 S, MURRAY, UT 84123-1326
(801) 587-2460
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
UT
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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