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Individual

STEVEN G DEWEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4100
Mailing address
832 WILLOW ST, RENO, NV 89502-1304

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9802
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
9802
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016937
NV
05
201696001
NV
01
CC3901
BC/BS
NV
01
P00288169
RAILROAD MEDICARE
NV
Enumeration date
03/21/2006
Last updated
04/21/2010
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