Organization
PLASTIC SURGERY & WEIGHT LOSS CNTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAN W STEWART DO (OFFICER)
(417) 239-0079
Entity
Organization
Contact information
Practice address
10994 HISTORIC HIGHWAY 165 STE D, HOLLISTER, MO 65672-5606
(417) 239-0079
(417) 239-1228
Mailing address
PO BOX 8781, SPRINGFIELD, MO 65801-8781
(417) 239-0079
(417) 239-1228
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
101644
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014M
BLUE SHIELD NON-PART
MO
01
—
21186039
BLUE SHIELD OF KC
MO
05
—
244744504
—
MO
01
—
DD0320
RAILROAD MEDICARE
MO
Enumeration date
09/18/2007
Last updated
04/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us