Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | OT017864 | PA |
N | 208600000X | Surgeon | OT017864 | PA |
NPI | 1013438282 |
---|---|
Provider Name | Stephen Atkinson |
First Address | Harrisburg, PA 17109-5317 |
Second Address | Harrisburg, PA 17104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2017 |
Last Update Date | 04/02/2021 |