Provider Demographics
NPI:1346241882
Name:CARDER, STEVEN ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ARTHUR
Last Name:CARDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 WESTOWNE ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-1166
Mailing Address - Country:US
Mailing Address - Phone:816-415-2999
Mailing Address - Fax:816-415-9989
Practice Address - Street 1:3 WESTOWNE ST
Practice Address - Street 2:SUITE 303
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1166
Practice Address - Country:US
Practice Address - Phone:816-415-2999
Practice Address - Fax:816-415-9989
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO107604207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0106468OtherUNITED HEALTHCARE ID
2368734OtherAETNA ID
MO107604OtherSTATE MEDICAL LICENSE
216506OtherCOVENTRY ID
3437795OtherCIGNA ID
22025026OtherBLUE CROSS BLUE SHIELD ID
MO031991Medicaid
2368734OtherAETNA ID
MO107604OtherSTATE MEDICAL LICENSE