Basic Information
Provider Information
NPI: 1962432336
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEADMAN
FirstName: JAMES
MiddleName: SANFORD
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3381 HERONS LANDING DR
Address2:  
City: RENO
State: NV
PostalCode: 895027719
CountryCode: US
TelephoneNumber: 7752405290
FaxNumber:  
Practice Location
Address1: 1000 LOCUST
Address2:  
City: RENO
State: NV
PostalCode: 89502
CountryCode: US
TelephoneNumber: 7757867200
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/03/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XCA 81635CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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