Individual
STEPHEN EUGENE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
428 W 42ND ST, KANSAS CITY, MO 64111-3176
(816) 842-2500
(816) 842-9980
Mailing address
428 W 42ND ST, KANSAS CITY, MO 64111-3176
(816) 842-2500
(816) 842-9980
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
04-21932
KS
2084F0202X
Forensic Psychiatry Physician
R5P78
MO
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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