PAUL STIVERSON, PA-C
Physician Assistant
Active
Individual
NPI: 1174306757
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 10004156A (IN) |
Frequently Asked Questions
NPI 1174306757 is the National Provider Identifier for PAUL STIVERSON, PA-C, a Physician Assistant provider located in Lafayette, IN. This NPI was enumerated on August 16, 2023.
PAUL STIVERSON, PA-C practices at 1701 S CREASY LN, Lafayette, IN 47905.
Quick Facts
- NPI
- 1174306757
- Type
- Individual
- Enumerated
- Aug 16, 2023
- Last Updated
- Oct 26, 2023
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