Individual
DR. STEPHEN T WELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 431-0330
(573) 472-2966
Mailing address
PO BOX 1068, SIKESTON, MO 63801-1068
(573) 431-0330
(573) 472-2966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8G94
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115352
HEALTHLINK NUMBER
MO
05
—
202479820
—
MO
01
—
430741410
FIRST HEALTH NUMBER
MO
01
—
43074141063801A090
TRICARE NUMBER
MO
01
—
8580
BCBS MO NUMBER
MO
Enumeration date
01/26/2006
Last updated
07/09/2007
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