Individual
DR. STEPHEN JOSEPH FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2950
(801) 662-2980
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(210) 315-0233
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5414413-1205
UT
2086S0120X
Pediatric Surgery Physician
Primary
5414413-1205
UT
Other
Enumeration date
04/26/2007
Last updated
10/27/2021
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