Individual
MR. PHILIP D. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 NEOSHO AVE, ROELAND PARK, KS 66205-1435
(913) 384-0422
Mailing address
5201 NEOSHO AVE, ROELAND PARK, KS 66205-1435
(913) 384-0422
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0417932
KS
207P00000X
Emergency Medicine Physician
Primary
R8664
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932172525
BCBS
KS
Enumeration date
02/13/2006
Last updated
08/05/2016
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