Provider Demographics
NPI:1063478410
Name:ATCHESON, JAMES BRUCE (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BRUCE
Last Name:ATCHESON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:850 HARVARD WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2055
Mailing Address - Country:US
Mailing Address - Phone:775-982-5262
Mailing Address - Fax:775-982-5496
Practice Address - Street 1:10085 DOUBLE R BLVD
Practice Address - Street 2:STE 310
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5860
Practice Address - Country:US
Practice Address - Phone:775-982-7260
Practice Address - Fax:775-982-7268
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV2594207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1063478410Medicaid
11050619OtherCAQH
NVD94344Medicare UPIN
NVV35222Medicare PIN