Individual
MICHAEL HENRY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, 3C120, SALT LAKE CITY, UT 84132-0006
(801) 581-8915
(801) 585-5744
Mailing address
30 N 1900 E, 3C120, SALT LAKE CITY, UT 84132-0006
(801) 581-8915
(801) 585-5744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
149395
UT
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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