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Dr. Brian T Stephens
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Brian T Stephens |
Gender: | M |
Provider License Number If Given: | MD2001008551 |
NPI Information:
NPI: | 1760485718 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 4/18/2013 |
Provider Business Mailing Address:
Address: | PO BOX 104240 Jefferson City, MO 65110 |
Phone Number: | 5736355264 |
Fax Number: |
Provider Business Practice Location Address:
Address: | 1241 W STADIUM BLVD Jefferson City, MO 65109 |
Phone Number: | 5736365248 |
Fax Number: | 5736369390 |
Provider Taxonomy:
Primary: | 174400000X |
Secondary (if any): | |
State: | MO |