Provider Demographics
NPI:1033244215
Name:NEWMAN, STEVE C (PA)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:C
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:166 W 1325 N
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-7792
Mailing Address - Country:US
Mailing Address - Phone:435-586-6962
Mailing Address - Fax:435-867-1663
Practice Address - Street 1:166 W 1325 N
Practice Address - Street 2:SUITE 150
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-7792
Practice Address - Country:US
Practice Address - Phone:435-586-6962
Practice Address - Fax:435-867-1663
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT100674-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000012578Medicare ID - Type Unspecified