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NPI Code Detail

MEDICARE: MARK B STEFFEN MD PA

MEDICARE: MARK B STEFFEN MD PA
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
1207LC0200XCritical Care Medicine (Anesthesiology) Physician
2207L00000XAnesthesiology Physician
3207LP2900XPain Medicine (Anesthesiology) Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DC8812OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2111133OTHERKSBCBS

General Provider Information

NPI Number : 1811958044
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK B STEFFEN MD PA
Provider Business Mailing Address
First Line : 3500 N MAYFIELD RD
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-9461
Country : US
Telephone Number : 620-791-6215
Fax Number :
Provider Business Practice Location Address
First Line : 514 CLEVELAND ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3562
Country : US
Telephone Number : 620-791-6215
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARK STEFFEN
Credential : MD
Telephone Number : 620-791-6215
Provider Enumeration Date : 03/29/2006
Last Update Date : 09/10/2014

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