# DR. STEPHEN D TARVER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710089966
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 04-23029 | KS | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10014180B | — | KS |
| 01 | — | 23956059 | BCBS KANSAS CITY | MS |
| 01 | — | 627160 | FIRSTGUARD | KS |