Healthcare Provider Details

I. General information

NPI: 1205993607
Provider Name (Legal Business Name): SABRINA L. STEELE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6321 S REDWOOD RD SUITE 201
TAYLORSVILLE UT
84123-6798
US

IV. Provider business mailing address

6321 S REDWOOD RD SUITE 201
SALT LAKE CITY UT
84123-6798
US

V. Phone/Fax

Practice location:
  • Phone: 801-265-2212
  • Fax: 801-265-0103
Mailing address:
  • Phone: 801-265-2212
  • Fax: 801-265-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number330962-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: