Individual
STEVEN J. FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 N WOODLAWN ST, WICHITA, KS 67208-3648
(316) 684-5158
(316) 691-4472
Mailing address
1851 N WEBB RD FL 2, WICHITA, KS 67206-3413
(316) 858-3831
(316) 691-4472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0433238
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639127012
—
KS
01
—
P00658154
RAILROAD MEDICARE
KS
Enumeration date
05/05/2006
Last updated
04/25/2013
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