Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 2818 | NV |
NPI | 1124015714 |
---|---|
Provider Name | Dr. Steven G Atcheson |
First Address | Double Oak, TX 75077-7329 |
Second Address | Reno, NV 89503-5616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 04/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C95741 | (02) | NV |