Individual
STEPHANIE LYNN DE VERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
(816) 525-2841
Mailing address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2019006409
MO
Other
Enumeration date
09/04/2019
Last updated
12/15/2020
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