Organization
JOULE N STEVENSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOULE N STEVENSON M.D. (PHYSICIAN OWNER)
(314) 731-7844
Entity
Organization
Contact information
Practice address
12277 DE PAUL DR, SUITE 406, BRIDGETON, MO 63044-2516
(314) 731-7844
(314) 731-3296
Mailing address
12277 DE PAUL DR, SUITE 406, BRIDGETON, MO 63044-2516
(314) 731-7844
(314) 731-3296
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2002019263
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165057
BLUECROSSBLUESHIELD
MO
01
—
321634
HARMONY HEALTH PLAN
MO
01
—
40798V56535
HEALTHCAREUSA
MO
05
—
507561801
—
MO
01
—
520762
HEALTHLINK
MO
Enumeration date
05/05/2007
Last updated
05/02/2011
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