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Organization
PEDIATRIX MEDICAL GROUP OF SPRINGFIELD
Active
Organization
PEDIATRIX MEDICAL GROUP OF SPRINGFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD LIVINGSTON STEVENS JR. M.D. (NEONATOLOGIST)
(417) 820-3219
Entity
Organization
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-3219
Mailing address
5157 S STONE CIR, SPRINGFIELD, MO 65810-1636
(417) 890-6173
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD112685
MO
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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