Individual
MARK H STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE STE 112, SALT LAKE CITY, UT 84103-2873
(801) 408-3990
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-3990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0890310010
UT
Other
Enumeration date
07/22/2006
Last updated
10/17/2007
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