Individual
STEVEN IVAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 292-9355
Mailing address
8592 S WASATCH BLVD, SALT LAKE CITY, UT 84121-6044
(801) 510-1983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8071288-1206
UT
Other
Enumeration date
09/08/2011
Last updated
12/16/2015
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