Individual
MR. STEPHEN D. SYLVESTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
RU STATION 6899, ADAMS & TYLER STREETS, RADFORD, VA 24142
(540) 831-6667
Mailing address
316 MOUNTAIN DR, PEARISBURG, VA 24134-1120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001460
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001460
VA BOARD OF MEDICINE
VA
Enumeration date
10/07/2005
Last updated
07/08/2007
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