Richard T Stevens, Md, PC

NPI #1356374086 in Providence, Utah

Provider Information

NPI Number
1356374086
Entity Type
Organization
Organization Name
Richard T Stevens, Md, PC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Jul 8, 2006
Last Updated
Sep 12, 2007

Practice Location

Address
169 SPRINGCREEK PKWY
Address 2
100
State
Utah
ZIP Code
84332-9707
Phone
(435) 752-0330

Authorized Official

Name
DR. RICHARD T STEVENS, M.D.
Title
OWNER
Phone
(435) 752-0330

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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