MEDICARE: STEVEN R. ANGERBAUER MD

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	2083X0100X	Occupational Medicine Physician	6353577-1205	UT

General Provider Information

NPI Number	:	1720275639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN R. ANGERBAUER MD

Provider Business Mailing Address
First Line	:	2150 S 1300 E
Second Line	:	SUITE 500
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4333
Country	:	US
Telephone Number	:	801-915-1622
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 S 1300 E
Second Line	:	SUITE 500
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4333
Country	:	US
Telephone Number	:	801-915-1622
Fax Number	:

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

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	12/05/2014

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