MR. Phillip E Stevenson, PA-C

NPI #1871744425 in Payette, Idaho

Provider Information

NPI Number: 1871744425
Entity Type: Individual
Name: MR. Phillip E Stevenson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 1, 2008
Last Updated: Dec 1, 2008

Practice Location

Address: 1441 NE 10TH AVE
City: Payette
State: Idaho
ZIP Code: 83661-5420
Phone: (208) 642-9376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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