Individual
STEPHEN G ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1427 JEFFERSON AVE, SUITE 203, ENUMCLAW, WA 98022-3649
(360) 825-2701
(360) 825-5724
Mailing address
1427 JEFFERSON AVE, SUITE 203, ENUMCLAW, WA 98022-3649
(360) 825-2701
(360) 825-5724
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00039844
WA
208600000X
Surgery Physician
Primary
MD00039844
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155711
WA LABOR & INDUSTRIES
WA
01
—
0155712
WA L& I
WA
05
—
1113398
—
WA
01
—
5197AT
REGENCE BLUE SHIELD
WA
05
—
7109788
—
WA
Enumeration date
01/15/2007
Last updated
06/14/2010
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