Individual
STEVEN DALE ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3525 S NATIONAL AVE, STE 206, SPRINGFIELD, MO 65807-7310
(417) 269-9200
(417) 269-9204
Mailing address
3525 S NATIONAL AVE, STE 206, SPRINGFIELD, MO 65807-7310
(417) 269-9200
(417) 269-9204
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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