Individual
STEPHEN M FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
330 N STATE ST, SUITE C, DESLOGE, MO 63601-3052
(573) 431-2829
(573) 431-7186
Mailing address
330 N STATE ST, SUITE C, DESLOGE, MO 63601-3052
(573) 431-2829
(573) 431-7186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9567
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240928614
—
MO
Enumeration date
04/22/2006
Last updated
11/26/2007
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