Provider Demographics
NPI:1376645887
Name:NANCE, STEVEN GREG (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GREG
Last Name:NANCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672 W 400 S STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-3157
Mailing Address - Country:US
Mailing Address - Phone:801-489-0111
Mailing Address - Fax:801-489-0537
Practice Address - Street 1:672 W 400 S STE 100
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-3157
Practice Address - Country:US
Practice Address - Phone:801-489-0111
Practice Address - Fax:801-489-0537
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT165797-8905207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT20024OtherDESERET MUTUAL HEALTHCARE
UT107006652101OtherSELECT HEALTHCARE
UTQM0000000159OtherALTIUS HEALTH PLANS
UTQM0000000159OtherALTIUS HEALTH PLANS
UT20024OtherDESERET MUTUAL HEALTHCARE