Provider Demographics
NPI:1629350343
Name:HUNTER, STEVEN PAUL (PA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:PAUL
Last Name:HUNTER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2315 MYRTLE ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-4602
Mailing Address - Country:US
Mailing Address - Phone:814-456-9197
Mailing Address - Fax:814-455-2765
Practice Address - Street 1:2315 MYRTLE ST
Practice Address - Street 2:SUITE 160
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-4602
Practice Address - Country:US
Practice Address - Phone:814-456-9197
Practice Address - Fax:814-455-2765
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA055161363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant