Kirk Ronald Stephens, PA-C

NPI #1992221980 in Midvale, Utah

Provider Information

NPI Number: 1992221980
Entity Type: Individual
Name: Kirk Ronald Stephens, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: PA-C
Enumeration Date: Aug 21, 2017
Last Updated: Jun 14, 2021

Practice Location

Address: 7396 S UNION PARK AVE STE 201
City: Midvale
State: Utah
ZIP Code: 84047-6702
Phone: (801) 567-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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