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NPI Code Detail

MEDICARE: ELTON HERMAN STECKER M.D.

MEDICARE: ELTON HERMAN STECKER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC-5478AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080157349OTHERARMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992804496
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELTON HERMAN STECKER M.D.
Provider Business Mailing Address
First Line : 1661 AIRPORT RD
Second Line : SUITE D
City : HOT SPRINGS
State : AR
Zip : 71913-7951
Country : US
Telephone Number : 501-625-7500
Fax Number : 501-625-7777
Provider Business Practice Location Address
First Line : 2605 ALBERT PIKE RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-4514
Country : US
Telephone Number : 501-767-1144
Fax Number : 501-767-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 08/12/2010

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Directions to “ ELTON HERMAN STECKER M.D.” Practice Location

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