Individual
ADAM THOMAS STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 581-2121
Mailing address
PO BOX 581100, SALT LAKE CITY, UT 84158-1100
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5211212-1205
UT
Other
Enumeration date
11/06/2006
Last updated
11/23/2021
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