Provider Information for 1588018824
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SUSAN STEVER
Sex: Female
NPI: 1588018824
Last Updated: 2017-01-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1588018824 | ||||||||||||
| Enumeration Date | 2016-04-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 934 S MAIN ST LAYTON, UT 84041-7135 United States Phone: 801-773-7060 | Fax: | ||||||||||||
| Primary Practice Address | 934 S MAIN ST LAYTON, UT 84041-7135 United States Phone: 801-773-7060 | Fax: | ||||||||||||
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