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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932285426 NPPES
Utah MEDICAID 10674

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