Organization · Type 2 NPI
Richard T Stevens, Md, PC
Health Service Clinic/Center · Providence, UT
NPI number
1356374086
Active
Practice location
169 Springcreek Pkwy, 100
Providence, UT 84332-9707
Fax (435) 755-0922
Mailing address
PO Box 609
Providence, UT 84332-0609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 61283271205 (UT) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
Other health service clinic/center providers in Providence
About NPI 1356374086
Richard T Stevens, Md, PC's National Provider Identifier is 1356374086, issued on Jul 8, 2006. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Providence, UT. The record was last updated on Sep 12, 2007.