National Provider Identifier
Mark Patrick Stephan, PA
Mark Patrick Stephan, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Williamsville, NY and a listed phone number of (716) 447-6310.
Source: public NPPES record, last updated July 09, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1699886614
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 31, 2006
- Last Updated
- July 09, 2014
Practice Location
- 55 Spindrift Dr
- Williamsville, NY 14221-7800
Phone: (716) 447-6310
Specialties
- Surgical Physician Assistant (363AS0400X)
- Medical Physician Assistant (363AM0700X)
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Biography
Mark Stephan is a Williamsville, New York-based physician assistant with a public credential record indicating PA licensure in New York and a surgical practice background through the CMS NPI Registry.
Full Record
- NPI
- 1699886614
- Entity Type
- Individual
- Last Name
- Stephan
- First Name
- Mark
- Middle Name
- Patrick
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 55 Spindrift Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7800
- Mailing Country
- US
- Mailing Phone
- (716) 447-6310
- Mailing Fax
- (716) 775-6288
- Practice Street Address
- 55 Spindrift Dr
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7800
- Practice Country
- US
- Practice Phone
- (716) 447-6310
- Practice Fax
- (716) 775-6288
- Enumeration Date
- August 31, 2006
- Last Updated
- July 09, 2014
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 03076359 (NY)