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Individual

DR. RONALD LEE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 ARKANSAS ST, SUITE 105, LAWRENCE, KS 66044-1335
(785) 840-2800
(785) 840-2813
Mailing address
330 ARKANSAS ST, SUITE 105, LAWRENCE, KS 66044-1335
(785) 840-2800
(785) 840-2813

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
04-13575
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100532
BC/BS OF KANSAS
05
2050932602
KS
01
2422210
AETNA
01
24510021
BC/BS KANSAS CITY
01
36-00127
UNITED HEALTHCARE
01
423050
FIRST GUARD
01
830007296
MEDICARE RAILROAD
Enumeration date
03/16/2006
Last updated
05/20/2014
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