Individual
DR. STEPHEN R SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 W 151ST ST, OLATHE, KS 66061-7218
(913) 768-7200
(913) 768-9712
Mailing address
6601 WINCHESTER AVE, SUITE 230, KANSAS CITY, MO 64133-4677
(816) 313-2677
(816) 313-6000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
04-21824
KS
2085R0001X
Radiation Oncology Physician
107164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189660A
—
KS
05
—
203673918
—
MO
Enumeration date
04/10/2006
Last updated
01/09/2013
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