Individual
NANCY J STEVENSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 S 700 E, STE 10, SLC, UT 84107-2180
(801) 268-4141
(801) 261-8609
Mailing address
4000 S 700 E, STE 10, SLC, UT 84107-2180
(801) 268-4141
(801) 261-8609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
214067-1206
UT
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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