Healthcare Provider Details

I. General information

NPI: 1285166181
Provider Name (Legal Business Name): KATELYN TONDO-STEELE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5063 S COTTONWOOD ST STE 400
MURRAY UT
84107-6773
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 801-408-5155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number14018890-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: