Provider Demographics
NPI:1639351158
Name:JARBOE, STEVEN C (PA-C)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:JARBOE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9112 ETON RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4902
Mailing Address - Country:US
Mailing Address - Phone:301-587-3017
Mailing Address - Fax:
Practice Address - Street 1:7300 VAN DUSEN ROAD
Practice Address - Street 2:LAUREL REGIONAL HOSPITAL
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:301-497-7940
Practice Address - Fax:301-497-8743
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0001149363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical