Organization
STEVEN E WARREN MD PC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E WARREN MD (OWNER)
(801) 652-8613
Entity
Organization
Contact information
Practice address
4698 S HIGHLAND DR STE 100, SLC, UT 84117-5176
(801) 797-5901
(801) 797-5906
Mailing address
4698 S HIGHLAND DR STE 100, SLC, UT 84117-5176
(801) 797-5901
(801) 797-5906
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366421729
—
UT
Enumeration date
07/01/2011
Last updated
12/17/2020
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