Individual
MS. STEPHANIE LEA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3231 S NATIONAL AVE STE 300, SPRINGFIELD, MO 65807-7304
(417) 888-5658
Mailing address
3231 S NATIONAL AVE STE 300, SPRINGFIELD, MO 65807-7304
(417) 888-5658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2015004692
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015004692
STATE LICENSE
MO
Enumeration date
04/08/2006
Last updated
03/07/2022
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