Individual
DR. STEPHEN FRANCIS JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2305 GEORGIA, LOUISIANA, MO 63353
(573) 754-4584
(573) 754-5280
Mailing address
2305 GEORGIA STREET, LOUISIANA, MO 63353
(573) 754-4584
(573) 754-5280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1E27
MO
207Q00000X
Family Medicine Physician
RIE27
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10262700
BLUE CROSS BLUE SHIELD
MO
05
—
242101103
—
MO
Enumeration date
10/02/2006
Last updated
06/24/2009
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