Basic Information
Provider Information
NPI: 1336458587
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UHL
FirstName: STEVEN
MiddleName: ROBERT
NamePrefix: MR.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 HOSPITAL DR
Address2: SUITE 306
City: LEWISBURG
State: PA
PostalCode: 178379350
CountryCode: US
TelephoneNumber: 5705224110
FaxNumber: 5705222194
Practice Location
Address1: 25 LYSTRA ROGERS DR
Address2:  
City: LEWISBURG
State: PA
PostalCode: 178378807
CountryCode: US
TelephoneNumber: 5705233290
FaxNumber: 5705245231
Other Information
ProviderEnumerationDate: 10/05/2010
LastUpdateDate: 06/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400XMA054682PAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
363A00000XOA002565PAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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