Individual
DR. JOHN J STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1165
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 569-1787
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2011018257
MO
2085N0700X
Neuroradiology Physician
49018
TN
2085R0202X
Diagnostic Radiology Physician
Primary
2011018257
MO
2085R0202X
Diagnostic Radiology Physician
49018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q071113
—
TN
Enumeration date
06/26/2007
Last updated
12/09/2025
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