Individual
DR. STEPHANIE HOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7719
(573) 635-2156
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7719
(573) 635-2156
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
111174
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070013526
RAILROAD MEDICARE
MO
05
—
204713408
—
MO
01
—
CD6059
RR GROUP
MO
Enumeration date
01/19/2006
Last updated
05/28/2014
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