Individual
STEVEN E FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
Mailing address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R8P03
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006012657
MEDICARE LEGACY
MO
01
—
100017272
RAILROAD MEDICARE
—
01
—
136256
GHP
—
01
—
1441643
UHC
—
01
—
19561
BLUE CROSS/BLUE SHIELD
—
05
—
247962921
—
MO
01
—
270559
HEALTHLINK
—
01
—
4668959
AETNA
—
Enumeration date
07/12/2006
Last updated
09/22/2025
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