Healthcare Provider Details

I. General information

NPI: 1790957454
Provider Name (Legal Business Name): STEVEN E CALL MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 W 450 S STE B
SPRINGVILLE UT
84663-2384
US

IV. Provider business mailing address

3651 NO 100 E STE #150
PROVO UT
84604-5373
US

V. Phone/Fax

Practice location:
  • Phone: 801-226-0737
  • Fax: 801-226-0832
Mailing address:
  • Phone: 801-571-5756
  • Fax: 801-226-0832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number5761120-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN E. CALL
Title or Position: MANAGER
Credential: M.D.
Phone: 801-671-1092