Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 0101240739 | VA |
NPI | 1417165143 |
---|---|
Provider Name | Dr. Steven Deschner |
First Address | Mechanicsville, VA 23116-3845 |
Second Address | Mechanicsville, VA 23116-3845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 07/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00459771 | MEDICARE RAILROAD (01) | VA |