Individual
STEVEN K CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4175
(417) 875-4767
Mailing address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4175
(417) 875-4767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2D21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417944018
—
MO
05
—
241960509
—
MO
01
—
P00140685
RR MEDICARE
—
Enumeration date
09/29/2005
Last updated
06/16/2011
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