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Contact Information

TIMOTHY R STEVENS, PA-C
1075 S HWY 89
MOUNT PLEASANT, UT84647
 Phone: 435-462-2044
 Fax: 435-462-2043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY R STEVENS · (Male)

NPI Number 1417201419
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/30/2012
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9144918-1206
  • UT License # 9144918-8906
Hospital affiliation(s)
  • SANPETE VALLEY HOSPITAL - CAH - (Critical Access)
    1100 SOUTH MEDICAL DRIVE
    MOUNT PLEASANT, UT 84647
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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