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Individual

STEPHEN W MUNNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-22494
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
04-22494
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100209470A
KS
01
14312050
BCBS
MO
01
200024916
RAILROAD MEDICARE
05
202596607
MO
01
626610
FIRSTGUARD
KS
Enumeration date
08/30/2006
Last updated
06/22/2011
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