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Individual

DR. STEVEN JAY GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
126 N. MAIN, CHENEY, KS 67025
(316) 542-3400
(316) 542-3404
Mailing address
PO BOX 190, CHENEY, KS 67025-0190
(316) 542-3400
(316) 542-3404

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
3111
OK
111NR0200X
Radiology Chiropractor
Primary
3953
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060952
BLUE CROSS BLUE SHIELD
KS
Enumeration date
08/02/2005
Last updated
01/24/2017
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