Individual
DR. STEPHEN EUGENE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2219
(417) 886-5000
(417) 886-1100
Mailing address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2219
(417) 886-5000
(417) 886-1100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
105669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001012599
MEDICARE PTAN
MO
05
—
127435001
—
AR
05
—
207662115
—
MO
01
—
21256
BLUE CROSS BLUE SHIELD
MO
01
—
253780
HEALTHLINK
—
01
—
390003931
RAILROAD MEDICARE
—
Enumeration date
10/06/2006
Last updated
12/01/2009
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