Provider Demographics
NPI:1033136759
Name:TEYNOR, STEVEN VINCENT (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:VINCENT
Last Name:TEYNOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3300 N TRIUMPH BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6475
Mailing Address - Country:US
Mailing Address - Phone:801-821-2333
Mailing Address - Fax:801-901-1194
Practice Address - Street 1:6550 S MILLROCK DR STE 125
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84121-5794
Practice Address - Country:US
Practice Address - Phone:801-821-2333
Practice Address - Fax:801-901-1194
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT182847-12052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005767305Medicare PIN
UT006900220Medicare PIN