Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 9903300-1205 | UT |
N | 207RG0100X | Gastroenterologist | F1541 | TX |
NPI | 1043270358 |
---|---|
Provider Name | Dr. Stephen J Ferney |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Logan, UT 84341-2400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 15/12/2016 |