Provider Demographics
NPI:1962840348
Name:WESS, STEVEN D (PA-C)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:WESS
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:501 HOWARD AVE STE B204
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4811
Mailing Address - Country:US
Mailing Address - Phone:814-201-2835
Mailing Address - Fax:814-201-2886
Practice Address - Street 1:501 HOWARD AVE STE B204
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4811
Practice Address - Country:US
Practice Address - Phone:814-201-2835
Practice Address - Fax:814-201-2886
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2016-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA056831363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant