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Individual

DR. CARL CHRISTOPHER STACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 474-2700
(573) 884-4612
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
2007003081
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007003081
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD-5140
HI

Other

Enumeration date
11/20/2006
Last updated
06/06/2024
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