Individual
DR. STEVEN B GEDULDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
153 W 151ST ST, OLATHE, KS 66061-5300
(913) 829-6800
(913) 829-6197
Mailing address
9119 W 74TH ST, OVERLAND PARK, KS 66204-2229
(913) 677-3600
(913) 432-7624
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
12-00184
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074568
BLUE SHIELD TOPEKA
KS
01
—
09117011
BLUE CROSS BLUE SHIELD
KS
Enumeration date
03/28/2006
Last updated
03/03/2010
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