Individual
STEVAN P WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8788
(573) 884-4892
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD106065
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209753318
—
MO
01
—
810000710
RR MEDICARE
MO
Enumeration date
05/17/2006
Last updated
09/12/2022
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