Individual
DR. MICHAEL BLAKE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3148 W 3500 S, WEST VALLEY CITY, UT 84119-3634
(801) 963-2389
Mailing address
3544 W CHATEL DR, RIVERTON, UT 84065-6855
(385) 209-8938
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6706922-1701
UT
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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