Individual
STEPHEN B. WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 NE 54TH ST, KANSAS CITY, MO 64118-4362
(816) 455-2020
(816) 459-5690
Mailing address
211 NE 54TH ST, KANSAS CITY, MO 64118-4337
(816) 455-2020
(816) 459-5690
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R1P52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203420591
—
MO
Enumeration date
06/26/2006
Last updated
06/08/2012
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