Individual
DR. STEPHANIE E. PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3525 E BATTLEFIELD ST, SPRINGFIELD, MO 65809-3435
(417) 269-1499
(417) 269-1459
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2011028624
MO
Other
Enumeration date
07/15/2010
Last updated
07/06/2023
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