Individual
MELODY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1419 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 364-1507
Mailing address
1419 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 364-1507
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2004018053
MO
207ND0101X
MOHS-Micrographic Surgery Physician
2004018053
MO
207NP0225X
Pediatric Dermatology Physician
2004018053
MO
207NS0135X
Procedural Dermatology Physician
2004018053
MO
Other
Enumeration date
02/24/2006
Last updated
04/11/2019
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