Individual
STEVEN DALE ATWOOD
Active
Individual
STEVEN DALE ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R1K19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18731
BLUE CROSS BLUE SHIELD OF
MO
05
—
202763058
—
MO
Enumeration date
07/18/2005
Last updated
11/28/2011
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