Individual
DR. STEPHANIE L DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 792-7000
Mailing address
PO BOX 411375, KANSAS CITY, MO 64141-1375
(816) 781-9222
(816) 781-9250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005014005
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35380019
BCBS MO
MO
Enumeration date
08/10/2005
Last updated
05/06/2020
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