Individual
DR. STEVEN P GRADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804
(417) 820-5467
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-5467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009001438
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
123828
AK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
2009001438
MO
Other
Enumeration date
07/31/2007
Last updated
10/03/2019
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