Steven D Wengren C.PED.

NPI 1760543870 - Specialist - 174400000X

NPI Details
NPI 1760543870
Gender Male
Enumeration Date 12/12/2006
Last Updated 11/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
620 E. WILMINGTON AVE.
SALT LAKE CITY UT, 84106-1421, US
Phone (801) 466-2884
Fax (801) 466-2884
Business Location
620 E. WILMINGTON AVE.
SALT LAKE CITY UT, 84106-1421, US
Phone (801) 466-2884
Fax (801) 466-2884
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Steven D Wengren C.PED. NPI is 1760543870, taxonomy code is 174400000X Steven D Wengren C.PED. physically located at 620 E. Wilmington Ave., Salt Lake City UT, 84106-1421. NPI Number Steven D Wengren C.PED. has the Individual type.

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1760543870 NPI number is provided on an as is basis without warranty of any kind. 1760543870 is maintained by the National Plan & Provider Enumeration System. The contents of Steven D Wengren C.PED. are for informational purposes only.