Individual
DR. STEPHEN P JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5709
(816) 404-6024
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R1J08
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202564357
—
MO
Enumeration date
06/15/2006
Last updated
11/30/2020
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