Organization
MARK B STEFFEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEFFEN MD (PRESIDENT)
(620) 791-6215
Entity
Organization
Contact information
Practice address
514 CLEVELAND ST, GREAT BEND, KS 67530-3562
(620) 791-6215
Mailing address
3500 N MAYFIELD RD, HUTCHINSON, KS 67502-9461
(620) 791-6215
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111133
BCBS
KS
01
—
DC8812
RAILROAD MEDICARE
—
Enumeration date
03/29/2006
Last updated
09/10/2014
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