Roman Stetkevich in Fontana - Physician Assistant
Roman Stetkevich - NPI 1366501090
Roman Stetkevich is a Physician Assistant in Fontana, California. Roman Stetkevich practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roman Stetkevich is 1366501090. The last update date is 2021-12-02.
Roman Stetkevich's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094273910. The mailing address for Roman Stetkevich is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roman Stetkevich |
|---|---|
| Address | 9961 Sierra Ave, Fontana, California |
| Phone Number | 9094273910 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1366501090 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 9961 Sierra Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923356720 |
| Phone Number | 9094273910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15653 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Roman Stetkevich by the Centers for Medicare & Medicaid Services (CMS)?
The Roman Stetkevich has been assigned the NPI (National Provider Identifier) 1366501090. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Roman Stetkevich?
The Roman Stetkevich is physically situated at 9961 Sierra Ave, in the city of Fontana, state of CA, with the postal code 923356720.
What is the Roman Stetkevich's area of specialization and corresponding taxonomy classification?
The Roman Stetkevich's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1366501090 to Roman Stetkevich?
The Centers for Medicare & Medicaid Services assigned the 1366501090 to Roman Stetkevich on 2006-12-08.
As of what date were the details related to Roman Stetkevich most recently updated or revised?
The information pertaining to Roman Stetkevich, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-02.
NPI Number: 1932102142
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