Individual
STEPHEN LEE SEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2403 LAKEWOOD DR, CHAMPAIGN, IL 61822-7523
(217) 840-1150
Mailing address
5115 TASHKENT DR, FRIENDSWOOD, TX 77546-3023
(217) 840-1150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13946
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2020
Last updated
11/18/2020
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