Healthcare Provider Details

I. General information

NPI: 1699607119
Provider Name (Legal Business Name): STEPHEN SOLEN M.ED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 S 1100 W
SPRINGVILLE UT
84663-5625
US

IV. Provider business mailing address

92 S 1100 W
SPRINGVILLE UT
84663-5625
US

V. Phone/Fax

Practice location:
  • Phone: 801-623-3039
  • Fax:
Mailing address:
  • Phone: 801-623-3039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number547060
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: