Individual
DR. STEVEN WITTENBERG GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12312 RUSSELL ST, STE 101, OVERLAND PARK, KS 66209-2531
(913) 787-5805
(913) 730-8370
Mailing address
12312 RUSSELL ST, STE 101, OVERLAND PARK, KS 66209-2531
(913) 787-5805
(913) 730-8370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007001370
MO
207Q00000X
Family Medicine Physician
Primary
32351
KS
Other
Enumeration date
09/26/2006
Last updated
05/31/2012
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