Individual
DR. EDWARD M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6575
(816) 271-6139
Mailing address
PO BOX 8252, SAINT JOSEPH, MO 64508-8252
(816) 271-6575
(816) 271-6139
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0413828
KS
2085R0202X
Diagnostic Radiology Physician
Primary
27607
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04682065
BCBS KANSAS CITY MO
MO
01
—
106141
BCBS KS FOR KS LOCATION
KS
01
—
470769
BCBS KS FOR MO LOCATION
KS
Enumeration date
02/22/2006
Last updated
04/04/2008
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