Individual
STEVEN G FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008951225
—
VA
01
—
0110840508
LICENSE
VA
01
—
C02375
MEDICARE GROUP
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
Enumeration date
09/20/2006
Last updated
04/08/2010
Update your record
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