Individual
STEVEN K DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 BRIGHTON, OZARK, MO 65721-8082
(417) 581-4027
Mailing address
300 BRIGHTON, OZARK, MO 65721-8082
(417) 581-4027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3J78
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107059
BLUE CROSS/BLUE SHIELD
—
05
—
207971102
—
MO
Enumeration date
06/13/2006
Last updated
01/20/2021
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