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Individual

STEVEN E FERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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
Update your record

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