Individual
STEPHEN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Mailing address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9550310-1205
UT
208M00000X
Hospitalist Physician
Primary
9550310-1205
UT
Other
Enumeration date
04/24/2014
Last updated
10/21/2021
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