# TODD A STASTNY MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medicine Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457303604
- **Authorized official:** MRS. JULIE LYNN STASTNY (PRACTICE MANAGER/OWNER)
- **Authorized official phone:** (816) 228-1500

## Contact information

- **Practice address:** 1700 NW MOCK AVE, BLUE SPRINGS, MO 64015-3118
- **Practice address phone:** (816) 228-1500
- **Practice address fax:** (816) 228-3805
- **Mailing address:** 1700 NW MOCK AVE, BLUE SPRINGS, MO 64015-3118
- **Mailing address phone:** (816) 228-1500
- **Mailing address fax:** (816) 228-3805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R2J77 | MO | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 04/09/2010