Individual
DR. STEVEN JOSEPH BROXTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9119 WEST 74TH STREET, SUITE 150, SHAWNEE MISSION, KS 66204-2229
(913) 789-1980
(913) 789-1990
Mailing address
9119 WEST 74TH STREET, SUITE 150, SHAWNEE MISSION, KS 66204-2229
(913) 789-1980
(913) 789-1990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-17192
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07085038
BLUE CROSS
KS
01
—
355580
FIRSTGUARD
KS
Enumeration date
09/28/2006
Last updated
08/02/2011
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