Healthcare Provider Details

I. General information

NPI: 1437004991
Provider Name (Legal Business Name): STEVEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 S CHIPETA WAY STE 22
SALT LAKE CITY UT
84108-1234
US

IV. Provider business mailing address

1598 W HERON WAY
WEST VALLEY CITY UT
84119-2183
US

V. Phone/Fax

Practice location:
  • Phone: 801-615-9210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: