Individual
DR. STEPHEN A SEGALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1879 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2833
(573) 776-6490
(573) 776-1608
Mailing address
1879 N. WESTWOOD, POPLAR BLUFF, MO 63901-2833
(573) 776-6490
(573) 776-1608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
116192
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115389
BLUECROSSBLUESHIELD
MO
Enumeration date
06/22/2005
Last updated
07/09/2007
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