Individual
MR. STEVEN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1601 E BROADWAY, LOWER LEVEL, COLUMBIA, MO 65201
(573) 815-2700
(573) 815-3693
Mailing address
PO BOX 7096, STOCKTON, CA 95267
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
102907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243399979
—
MO
01
—
274142
GROUP HEALTH
MO
Enumeration date
06/23/2006
Last updated
06/03/2008
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