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NPI Code Detail

MEDICARE: MR. EVAN JAMES HUTTON PA-C

MEDICARE:  MR. EVAN JAMES HUTTON  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA063288PA

General Provider Information

NPI Number : 1518360262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EVAN JAMES HUTTON PA-C
Provider Business Mailing Address
First Line : 2550 MOSSIDE BLVD STE 405
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-3533
Country : US
Telephone Number : 412-373-1600
Fax Number :
Provider Business Practice Location Address
First Line : 2550 MOSSIDE BLVD STE 405
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-3533
Country : US
Telephone Number : 412-373-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2014
Last Update Date : 01/24/2023

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Directions to “ MR. EVAN JAMES HUTTON PA-C” Practice Location

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