Individual
DR. MARK STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
293 S MAIN ST, LOGAN, UT 84321-5203
(435) 753-4133
Mailing address
293 S MAIN ST, LOGAN, UT 84321-5203
(435) 753-4133
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
7390246-4101
UT
237700000X
Hearing Instrument Specialist
Primary
7390246-4601
UT
Other
Enumeration date
01/02/2013
Last updated
08/25/2022
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