Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY ROGER STEVENS, PA-C
ActiveMedical Physician Assistant · MT PLEASANT, UT
Registration Details
- NPI Number
- 1417201419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2012 (13.475640223073 yrs)
- Last Updated
- Nov 27, 2023
- Licenses
-
9144918-8906 (UT)9144918-1206 (UT)
Practice Information
- Address
-
1075 S HWY 89MT PLEASANT, UT, 84647Browse UT providers · Browse ZIP 84647
- Phone
- 4354622044
- Fax
- 4354622043
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MT PLEASANT, UT
| Name | Credential | NPI |
|---|---|---|
| DAVID LAWRENCE DEATON | PA | 1104844224 |
| SHAUN D YOUNG | PA | 1538214515 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.