Organization
TODD A STASTNY MEDICAL ASSOCIATES
Active
Other names
Family Medicine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE LYNN STASTNY (PRACTICE MANAGER/OWNER)
(816) 228-1500
Entity
Organization
Contact information
Practice address
1700 NW MOCK AVE, BLUE SPRINGS, MO 64015-3118
(816) 228-1500
(816) 228-3805
Mailing address
1700 NW MOCK AVE, BLUE SPRINGS, MO 64015-3118
(816) 228-1500
(816) 228-3805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2J77
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB6556
MEDICARE RAILROAD
MO
Enumeration date
05/16/2006
Last updated
04/09/2010
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