Individual
ANDREW MARC STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2038 W 1900 S, SYRACUSE, UT 84075-9320
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01074283A
IN
207Q00000X
Family Medicine Physician
Primary
10975428-1205
UT
207Q00000X
Family Medicine Physician
11017415A
IN
Other
Enumeration date
04/03/2013
Last updated
08/19/2019
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