Individual
DR. STACY LEILA DASHIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6650 TROOST AVE STE 301, KANSAS CITY, MO 64131-1214
(816) 276-7650
(816) 276-7090
Mailing address
239 N BROADWAY AVE, STERLING, KS 67579-1916
(620) 278-2123
(620) 278-2712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0434338
KS
207Q00000X
Family Medicine Physician
2009012454
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200620250B
—
KS
Enumeration date
03/23/2009
Last updated
11/15/2010
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