Dr. Stephen Joseph Fenton
Surgeon Pediatric Surgery
100 Mario Capecchi Dr
Salt Lake City
, Utah 84113-1103
Dr. Stephen Joseph Fenton
Surgeon Pediatric Surgery
100 Mario Capecchi Dr
Salt Lake City
, Utah 84113-1103
(210) 315-0233
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Stephen Joseph Fenton
- Po Box 30180
- Salt Lake City, UT
- Zip : 84130-0180
- Phone : (210) 315-0233
Second Address
- Dr. Stephen Joseph Fenton
- 100 Mario Capecchi Dr
- Salt Lake City, UT
- Zip : 84113-1103
- Fax : (801) 662-2980
- Phone : (801) 662-2950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 5414413-1205 | UT |
| N | 208600000X | Surgeon | 5414413-1205 | UT |
| Y | 2086S0120X | Pediatric Surgery | 5414413-1205 | UT |
National Provider Identifier
| NPI | 1649490228 |
|---|---|
| Provider Name | Dr. Stephen Joseph Fenton |
| First Address | Salt Lake City, UT 84130-0180 |
| Second Address | Salt Lake City, UT 84113-1103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2007 |
| Last Update Date | 27/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.