Individual
DR. STEVEN L. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 N LINCOLN ST, EAST PRAIRIE, MO 63845-1160
(573) 649-3026
(573) 649-5600
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD114557
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116266
MO NUMBER
MO
05
—
209992403
—
MO
01
—
383074
HEALTHLINK NUMBER
MO
01
—
430741410
FIRST HEALTH NUMBER
MO
01
—
43074141063801A003
TRICARE NUMBER
MO
Enumeration date
01/05/2006
Last updated
02/18/2021
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