Individual
DR. JEFFREY LEE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1062 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-4454
(435) 634-9225
(435) 634-8426
Mailing address
1062 E RIVERSIDE DR STE 102, ST GEORGE, UT 84790-4454
(435) 634-9225
(435) 634-8426
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5285638-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107019857101
INTERMOUNTAIN HEALTH CARE
UT
01
—
52856380500001
BLUECROSS BLUE SHIELD
UT
01
—
870545030SJL
EDUCATORS MUTUAL
UT
01
—
P00028353
RR MEDICARE
UT
Enumeration date
07/21/2005
Last updated
01/09/2024
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