Organization
UCFA PHYSICIANS NETWORK GROUP OF UT
Active
Other names
PNG Utah
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEO S STEPHENS CMA (CHIEF OPERATIONS OFFICER)
(423) 271-9911
Entity
Organization
Contact information
Practice address
159 W BROADWAY, SALT LAKE CITY, UT 84101-1907
(865) 307-3441
(865) 409-2526
Mailing address
8930 CROSS PARK DR STE 3, KNOXVILLE, TN 37923-4713
(423) 271-9911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
10/05/2021
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