Individual
DR. STEVEN M PASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1861 N ROCK RD, SUITE 310, WICHITA, KS 67206-4200
(316) 612-1833
(316) 612-2420
Mailing address
1861 N ROCK RD, SUITE 310, WICHITA, KS 67206-4200
(316) 612-1833
(316) 612-2420
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
04-20338
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102832
PREMIER BLUE
KS
01
—
110898
BLUE CROSS BLUE SHIELD
KS
01
—
412085867-A002
TRICARE
KS
01
—
611580
FIRST GUARD
KS
01
—
P00058828
RAILROAD MEDICARE
KS
Enumeration date
08/14/2006
Last updated
03/12/2008
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