Individual
SCOTT LEWIS STEGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
609 E CHERRY ST, SPRINGFIELD, MO 65806
(417) 836-5000
Mailing address
1515 S KICKAPOO AVE, SPRINGFIELD, MO 65804
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2017025981
MO
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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