Individual
MR. BRANDEN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACT
Contact information
Practice address
100 MATC, COLUMBIA, MO 65203
(573) 882-6501
Mailing address
100 MATC, COLUMBIA, MO 65203
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2013029731
MO
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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