Provider Demographics
NPI:1790957454
Name:STEVEN E CALL MD
Entity Type:Organization
Organization Name:STEVEN E CALL MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-671-1092
Mailing Address - Street 1:3651 NO 100 E
Mailing Address - Street 2:STE #150
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-5373
Mailing Address - Country:US
Mailing Address - Phone:801-571-5756
Mailing Address - Fax:801-226-0832
Practice Address - Street 1:771 W 450 S STE B
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-2384
Practice Address - Country:US
Practice Address - Phone:801-226-0737
Practice Address - Fax:801-226-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X
UT5761120-1205261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty