MEDICARE: PAUL STEINMAN DVM

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
1	174M00000X	Veterinarian	8335892-2801	UT

General Provider Information

NPI Number	:	1245572809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL STEINMAN DVM

Provider Business Mailing Address
First Line	:	2055 E CREEK RD
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84093-6449
Country	:	US
Telephone Number	:	801-942-0777
Fax Number	:	888-258-2450

Provider Business Practice Location Address
First Line	:	2055 E CREEK RD
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84093-6449
Country	:	US
Telephone Number	:	901-942-0777
Fax Number	:	888-258-2450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	03/21/2013

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