Individual
STEPHEN G PAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 GREENVILLE PLZ, HADLEY ROAD, GREENVILLE, PA 16125-1240
(724) 588-8884
(724) 588-8931
Mailing address
10 GREENVILLE PLZ, HADLEY ROAD, GREENVILLE, PA 16125-1240
(724) 588-8884
(724) 588-8931
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS004740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0846688
—
OH
05
—
10504280003
—
PA
Enumeration date
04/14/2006
Last updated
11/29/2007
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