Individual
STEVEN L PUDERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1314 N 36TH ST, SAINT JOSEPH, MO 64506-2357
(800) 952-8387
(913) 758-8387
Mailing address
1314 N. 36TH ST., ST. JOSEPH, MO 64506-4613
(800) 952-8387
(913) 758-8387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
523056
KS
Other
Enumeration date
07/18/2005
Last updated
07/09/2007
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