Individual
GEOFFERY LYNN STANCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3231 S NATIONAL AVE, SUITE 250, SPRINGFIELD, MO 65807-7304
(417) 885-0828
(417) 886-7383
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10722
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811999386
—
MO
Enumeration date
08/12/2005
Last updated
04/15/2015
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