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Organization

JOHN B. STURGEON M.D. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN B STURGEON MD (OWNER)
(913) 234-1350
Entity
Organization

Contact information

Practice address
8800 W 75TH ST, STE 310, SHAWNEE MISSION, KS 66204-2205
(913) 671-7803
(913) 722-0012
Mailing address
PO BOX 803855, KANSAS CITY, MO 64180-3855
(913) 234-1350
(913) 234-1108

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0423283
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100159950B
KS
01
100514
BCBS OF GARNETT KS
KS
01
40286019
BCBS OF KCMO
01
424345
BCBS OF KS
KS
01
DN2011
RR MEDICARE
KS
Enumeration date
03/17/2008
Last updated
08/20/2008
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