Individual
ANDREW STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
380 W 100 N STE A, MONTICELLO, UT 84535-7879
(435) 587-5041
Mailing address
2391 E 3225 S, SALT LAKE CITY, UT 84109-2719
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70948
MT
Other
Enumeration date
09/09/2009
Last updated
07/10/2024
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