Individual
DR. EDWARD L STEVENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-3219
(417) 820-7725
Mailing address
5157 S STONE CIR, SPRINGFIELD, MO 65810-1636
(417) 820-3219
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
112685
MO
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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