Individual
STEPHEN DENNEY CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1335 E INDEPENDENCE ST, SUITE B, SPRINGFIELD, MO 65804-4262
(417) 881-8818
(417) 886-9836
Mailing address
1335 E INDEPENDENCE ST, SUITE B, SPRINGFIELD, MO 65804-4262
(417) 881-8818
(417) 886-9836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2C53
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201732906
—
MO
Enumeration date
06/21/2005
Last updated
09/10/2012
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