Individual
STEVEN B GOLLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST STE G600, KANSAS CITY, KS 66160-2937
(913) 588-9600
(913) 588-9770
Mailing address
4000 AMBRIDGE STREET STE G600, KANSAS CITY, KS 66160-8500
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-18387
KS
207RC0000X
Cardiovascular Disease Physician
R1C60
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200070C
—
KS
05
—
100200070D
—
KS
01
—
100861
BCBS KS
KS
01
—
10804029
BCBS KC
—
05
—
201967007
—
MO
Enumeration date
08/10/2006
Last updated
12/11/2018
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