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Individual

DR. STEVEN RICHARD MCCOLLEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA, DSC

Contact information

Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2587
Mailing address
1296 S 200 E, KAYSVILLE, UT 84037-3706
(801) 544-7649
(801) 544-7661

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
214209-4406
UT

Other

Enumeration date
10/03/2005
Last updated
07/08/2007
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