Individual
MR. STEPHEN N BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 STATE ST, LEXINGTON, MO 64067-1107
(660) 259-2203
(660) 259-6813
Mailing address
1605 NW 75TH ST, KANSAS CITY, MO 64118-8391
(816) 436-6660
(660) 259-6813
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R6H4Y
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01089048
BCBS
MO
05
—
202540365
—
MO
05
—
540568508
—
MO
Enumeration date
07/25/2006
Last updated
05/19/2008
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