Stephenson, Robert A
Stephenson, Robert A is an individual health care provider with primary practice located at 1950 Circle Of Hope Dr , Salt Lake City UT 84112-5500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Stephenson, Robert A can be contacted via phone (801) 587-4385.Contact Information
Primary practice address
1950 Circle Of Hope Dr
Salt Lake City UT 84112-5500
Phone: (801) 587-4385
Fax: (801) 585-3749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 185721-1205 | Utah |
Profile Details
| NPI number | 1932285426 |
|---|---|
| LBN Legal business name | Stephenson, Robert A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Nov 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932285426 | NPPES |
| Utah | MEDICAID | 10674 |
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