Individual
STEVEN D WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0724
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001147
OPTUM
—
01
—
28257021
BCBS-KC
—
01
—
MA4370084
MEDICARE PTAN
MO
Enumeration date
02/18/2013
Last updated
10/08/2014
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