Individual
DR. STEVEN R. SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1006 W. SAINT MAARTENS DRIVE, SAINT JOSEPH, MO 64506
(816) 364-3325
Mailing address
1006 W. SAINT MAARTENS DRIVE, SAINT JOSEPH, MO 64506
(816) 364-3325
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
014401
MO
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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