Individual
STEVEN M. SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13945 S VIRGINIA ST STE 632, RENO, NV 89511
(775) 982-5000
(775) 982-3900
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
779
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110158492
RAILROAD MEDICARE
NV
01
—
11041961
CAQH
—
05
—
1730153230
—
NV
Enumeration date
02/14/2006
Last updated
07/05/2018
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