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Individual

STEVEN ROSS SALDUTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
187 MEDICAL PARK DR, BREVARD, NC 28712-4189
(828) 884-9362
(828) 884-3851
Mailing address
1409 ASHEVILLE HWY, BREVARD, NC 28712-9524
(828) 435-8400
(828) 435-8401

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
104019
NC
363AM0700X
Medical Physician Assistant
Primary
104019
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2760928B
MEDICARE PTAN
NC
01
NC6640A
MEDICARE PTAN
NC
01
NC6640B
MEDICARE PTAN
NC
01
NC6640C
MEDICARE PTAN
NC
01
NC6640D
MEDICARE PTAN
NC
Enumeration date
05/13/2006
Last updated
01/07/2022
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