STEPHEN UTENICK

SIMPSONVILLE, SC
NPI1093960957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CO  95-108)
Enumeration Date2008-11-19
Last Update Date2008-11-19
Business Address
-- STEPHEN UTENICK SA-C
105 BEASON FARM LN
SIMPSONVILLE, SC 29681-6509
Phone number: 864-414-1164
Mailing Address
-- STEPHEN UTENICK SA-C
105 BEASON FARM LN
SIMPSONVILLE, SC 29681-6509
Phone number:
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