institution
Richard T Stevens, Md, Pc
Health Service Clinic/Center in Providence, Utah
NPI 1356374086

Richard T Stevens, Md, Pc is a Health Service Clinic/Center based in Providence, UT and is specialized in Health Service. Richard T Stevens, Md, Pc practices in Providence, UT. The NPI Number for Richard T Stevens, Md, Pc is 1356374086 and holds a License No. 61283271205 (Utah).

The current practice location address for Richard T Stevens, Md, Pc is 169 Springcreek Pkwy, Providence, UT and can be reached out via phone at 435-752-0330 and via fax at 435-755-0922.

Location: 169 Springcreek Pkwy, Providence, UT, 84332-0609
institution
Provider Profile Details
NPI Number
1356374086
Provider Name
Richard T Stevens, Md, Pc
Credential
Provider Entity Type
Organization
Address
169 Springcreek Pkwy, Providence, UT, 84332-0609
Phone Number
435-752-0330
Fax Number
435-755-0922
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61283271205 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
169 Springcreek Pkwy
City
State
Zip
84332-9707
Phone Number
435-752-0330
Fax Number
435-755-0922
person
Provider Business Mailing Address Details
Address
169 Springcreek Pkwy
City
State
Zip
84332-9707
Phone Number
435-752-0330
Fax Number
435-755-0922
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
61283271205 (Utah)
Definition
Definition to come...
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