Individual provider · Type 1 NPI
Steven Eugene Nickman, PA-C
Medical Physician Assistant · Logan, UT
NPI number
1669459301
Active
Practice location
Logan Cancer Center, 1281 North 600 East
Logan, UT 84341
Fax (385) 297-2348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 276391-1206 (UT) |
Medical Physician Assistant: Definition to come...
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About NPI 1669459301
Steven Eugene Nickman, PA-C's National Provider Identifier is 1669459301, issued on Dec 23, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Logan, UT. The record was last updated on Aug 13, 2025.