Individual
STEVEN BURKE VAN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5330 S 900 E STE 120, SALT LAKE CITY, UT 84117-3504
(801) 266-0055
Mailing address
5330 S 900 E STE 120, SALT LAKE CITY, UT 84117-3504
(801) 266-0055
(801) 266-0056
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12687687-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12687687-1205
PATHOLOGY-ANATOMIC/CLINICAL
UT
Enumeration date
04/20/2016
Last updated
06/23/2022
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