Individual
DR. STEPHEN D TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 1034, KANSAS CITY, KS 66160
(913) 588-6670
(913) 588-3365
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-23029
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10014180B
—
KS
01
—
23956059
BCBS KANSAS CITY
MS
01
—
627160
FIRSTGUARD
KS
Enumeration date
09/01/2006
Last updated
07/09/2007
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