Individual
DR. JOHN B STURGEON
Active
Individual
DR. JOHN B STURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0423283
KS
207RG0100X
Gastroenterology Physician
MD114207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014795
RR MEDICARE
—
05
—
100159950B
—
KS
01
—
100514
BLUE CROSS BS GARNETT
KS
01
—
20913039
BCBS OF KCMO INDIVIDUAL NUMBER UNDER GROUP 40286019
—
01
—
424345
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
08/09/2005
Last updated
09/25/2014
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