Provider Demographics
NPI:1124015714
Name:ATCHESON, STEVEN G (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:ATCHESON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:135 THORNHILL CIR
Mailing Address - Street 2:
Mailing Address - City:DOUBLE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7329
Mailing Address - Country:US
Mailing Address - Phone:817-567-1943
Mailing Address - Fax:817-567-1503
Practice Address - Street 1:93 BELL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5616
Practice Address - Country:US
Practice Address - Phone:775-329-6772
Practice Address - Fax:775-329-7019
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2818207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVC95741Medicare UPIN
NVWJBDW01Medicare ID - Type Unspecified