Individual provider · Type 1 NPI
Stephen Utenick, SA-C
Surgical Physician Assistant · Simpsonville, SC
NPI number
1093960957
Active
Practice location
105 Beason Farm Ln
Simpsonville, SC 29681-6509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 95-108 (CO) |
Surgical Physician Assistant: Definition to come...
About NPI 1093960957
Stephen Utenick, SA-C's National Provider Identifier is 1093960957, issued on Nov 19, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Simpsonville, SC. The record was last updated on Nov 19, 2008.