Basic Information
Provider Information
NPI: 1831190925
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINER
FirstName: MARVIN
MiddleName: PAUL
NamePrefix: DR.
NameSuffix:  
Credential: MD FAAFP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 901 E. 104TH ST.
Address2: MAILSTOP 400N
City: KANSAS CITY
State: MO
PostalCode: 64131
CountryCode: US
TelephoneNumber: 8165027104
FaxNumber: 8169329670
Practice Location
Address1: 4801 S CLIFF AVE STE 300
Address2:  
City: INDEPENDENCE
State: MO
PostalCode: 640556954
CountryCode: US
TelephoneNumber: 8162515200
FaxNumber: 8162515299
Other Information
ProviderEnumerationDate: 08/10/2005
LastUpdateDate: 02/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD R8P91MOY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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