Individual
JAVIER URTEAGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
(803) 895-2273
Mailing address
1638 ELSIE JEAN TRAIL, CHEYENNE, WY 82007
(951) 212-7135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
03/23/2026
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