Individual
STEVEN T HEELIS
Active
Individual
STEVEN T HEELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
586368-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070384041101
IHC
UT
01
—
2000635
UNITED HEALTHCARE
UT
01
—
83334
PEHP
UT
01
—
844554
HEALTHY U
UT
01
—
902746
DESERET MUTUAL
UT
Enumeration date
08/12/2006
Last updated
07/08/2007
Update your record
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