Individual
STEPHEN C TINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5100
(417) 681-5521
Mailing address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5100
(417) 681-5521
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16304
OK
2085R0202X
Diagnostic Radiology Physician
Primary
R5B34
MO
Other
Enumeration date
07/19/2006
Last updated
01/14/2014
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