Provider Demographics
NPI:1295794949
Name:PECKHAM, STEVEN JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:PECKHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3300 NACOGDOCHES RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-3373
Mailing Address - Country:US
Mailing Address - Phone:210-646-0890
Mailing Address - Fax:210-646-9191
Practice Address - Street 1:3300 NACOGDOCHES RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-3373
Practice Address - Country:US
Practice Address - Phone:210-646-0890
Practice Address - Fax:210-646-9191
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2017-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101055348207ZC0500X
CAA85691207ZD0900X
TXR1612207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology