Individual
R STEVEN KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 SIDEWINDER DR, PARK CITY, UT 84060-7492
(435) 655-6600
Mailing address
1820 SIDEWINDER DR, PARK CITY, UT 84060-7492
(435) 655-6600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
284844-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107012319101
SELECTHEALTH
UT
01
—
62500
PUBLIC EMPLOYEES HEALTH P
UT
01
—
QM0000051402
ALTIUS HEALTH PLANS
UT
Enumeration date
08/03/2006
Last updated
10/11/2007
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