Individual
STEPHEN L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 NORTH MAIN STREET, CABOOL, MO 65689
(417) 962-3121
(417) 962-5240
Mailing address
PO BOX 69, CABOOL, MO 65689-0069
(417) 962-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1H82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202499752
—
MO
01
—
26-8603
RH MEDICARE
MO
01
—
597943901
RH MEDICAID
MO
Enumeration date
06/06/2006
Last updated
05/16/2008
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