MR. Stephen Emile Theriault, PA-C is a surgical physician assistant in Melbourne, FL. MR. Stephen Emile Theriault, PA-C NPI is 1134262710. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1341 MEDICAL PARK DR
SUITE 201
MELBOURNE, FL
ZIP 32901-235
Phone: (321) 953-1225
Fax: (321) 768-0033
The enumeration date for this NPI number is 2/14/2007 and was last updated on 1/28/2010.