Individual
ALEX RYAN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 N GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
Mailing address
411 N GRANT ST, SALT LAKE CITY, UT 84116-2725
(801) 359-8862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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