Phillip Stevenson, PA-C

NPI 1871744425 · on the registry since 2008

Practice

Address: 1441 Ne 10th Ave
Payette, ID 83661
Phone: (208) 642-9376
Fax: (208) 642-9598
Organisation at this address: Valley Family Health Care Inc
Valley Family Health Care, Inc
Valley Family Health Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho