Individual
CRAIG N STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9690 S 1300 E, #200, SANDY, UT 84094-3721
(801) 501-4310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 501-4310
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
761598341205
UT
Other
Enumeration date
07/24/2006
Last updated
11/15/2007
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