Basic Information
Provider Information
NPI: 1033432828
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEVES
FirstName: DAVID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 N MAIN ST
Address2:  
City: UNION CITY
State: PA
PostalCode: 164381068
CountryCode: US
TelephoneNumber: 8144387208
FaxNumber: 8144388062
Practice Location
Address1: 130 N MAIN ST
Address2:  
City: UNION CITY
State: PA
PostalCode: 164381068
CountryCode: US
TelephoneNumber: 8144387208
FaxNumber: 8144388062
Other Information
ProviderEnumerationDate: 03/08/2010
LastUpdateDate: 06/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOS015618PAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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