Individual
STEPHEN REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-4141
Mailing address
5701 TYLER DR, COLUMBIA, MO 65202-9808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121715
MO
Other
Enumeration date
05/08/2016
Last updated
05/08/2016
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