Individual
PAUL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 S KOMAS DR STE 200, SALT LAKE CITY, UT 84108-1241
(801) 581-5515
(801) 581-8979
Mailing address
650 S KOMAS DR STE 200, SALT LAKE CITY, UT 84108-1241
(801) 581-5515
(801) 581-8979
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
361354-1205
UT
Other
Enumeration date
06/01/2011
Last updated
11/23/2021
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