Individual
MR. STEPHEN M REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 E. WALNUT LAWN ST, SUITE 201, SPRINGFIELD, MO 65807
(417) 269-4450
(417) 269-8333
Mailing address
960 E. WALNUT LAWN ST, SUITE 201, SPRINGFIELD, MO 65807
(417) 269-4450
(417) 269-8333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3M98
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19679
BLUE CROSS OF MO
—
05
—
202825204
—
MO
Enumeration date
09/24/2006
Last updated
12/22/2016
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