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NPI Code Detail

MEDICARE: ERIC STEDMAN D.O.

MEDICARE: ERIC STEDMAN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician8006131-1204UT
22084P0800XPsychiatry Physician8006131-1204UT
32084P0800XPsychiatry PhysicianR7911IA

General Provider Information

NPI Number : 1144431107
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC STEDMAN D.O.
Provider Business Mailing Address
First Line : 3802 S 700 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-1182
Country : US
Telephone Number : 801-264-6000
Fax Number :
Provider Business Practice Location Address
First Line : 3802 S 700 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-1182
Country : US
Telephone Number : 801-264-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 02/03/2026

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