Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 3217841205 | UT |
NPI | 1003849019 |
---|---|
Provider Name | June C. Steinvorth |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Sandy, UT 84070-3459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 06/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B63082 | (02) |