Basic Information
| Provider Information | |||||||||
| NPI: | 1033323639 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HILEMAN | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 572 | ||||||||
| Address2: | |||||||||
| City: | WAVERLY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184710572 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5706891669 | ||||||||
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| Practice Location | |||||||||
| Address1: | 250 HOSPITAL PLACE | ||||||||
| Address2: | CENTRAL PENINSULA GENERAL HOSPITAL | ||||||||
| City: | SOLDOTNA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 99669 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9077144444 | ||||||||
| FaxNumber: | 9077144699 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2007 | ||||||||
| LastUpdateDate: | 05/06/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PH0002X | AK 2848 | AK | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | Hospice and Palliative Medicine |
No ID Information.