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Individual

DR. STEVEN L PADGET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9507 E 63RD ST, SUITE 101, RAYTOWN, MO 64133-4949
(816) 356-5520
(816) 356-2150
Mailing address
9507 E 63RD ST, SUITE 101, RAYTOWN, MO 64133-4949
(816) 356-5520
(816) 356-2150

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1071
KS
152W00000X
Optometrist
Primary
T02271
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06316019
BLUE CROSS BLUE SHIELD
MO
Enumeration date
08/03/2005
Last updated
03/20/2008
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