Provider Demographics
NPI:1538175435
Name:FARNSWORTH, STEVEN T (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:FARNSWORTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2975 EXECUTIVE PKWY
Mailing Address - Street 2:200
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-9642
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:5848 FASHION BLVD
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6121
Practice Address - Country:US
Practice Address - Phone:801-993-9582
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT186352-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2148OtherHEALTHY U
UTTPRA06850OtherMOLINA
UT215367OtherDESERET MUTUAL
AZ767684Medicaid
UT107005905102OtherIHC
UT73531OtherPEHP
UT1502954OtherUMWA
UTQM0000075886OtherALTIUS
UT2090168OtherUNITED HEALTHCARE
UT2148OtherHEALTHY U
UT215367OtherDESERET MUTUAL