| Steven E Warren Md Pc Llc | |
|
4698 S Highland Dr Ste 100 Slc UT 84117-5176 | |
| (801) 797-5901 | |
| (801) 797-5906 |
| Full Name | Steven E Warren Md Pc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4698 S Highland Dr Ste 100, Slc, Utah |
| Authorized Official Name and Position | Steven E Warren (OWNER) |
| Authorized Official Contact | 8016528613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven E Warren Md Pc Llc 4698 S Highland Dr Ste 100 Slc UT 84117-5176 Ph: (801) 797-5901 | Steven E Warren Md Pc Llc 4698 S Highland Dr Ste 100 Slc UT 84117-5176 Ph: (801) 797-5901 |
| NPI Number | 1235426925 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 12/17/2020 |
| Medicare PECOS PAC ID | 0547435745 |
|---|---|
| Medicare Enrollment ID | O20111217000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235426925 | NPI | - | NPPES |
| 1366421729 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven E Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366421729 PECOS PAC ID: 2769377589 Enrollment ID: I20040219000408 |
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