Healthcare Provider Details

I. General information

NPI: 1851339121
Provider Name (Legal Business Name): DEBORAH DIANE STONER-BRYAN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBORAH DIANE BRYAN M.D.

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 OREGON ST
HIAWATHA KS
66434-2221
US

IV. Provider business mailing address

503 OREGON ST
HIAWATHA KS
66434-2221
US

V. Phone/Fax

Practice location:
  • Phone: 785-742-4100
  • Fax: 785-742-4101
Mailing address:
  • Phone: 785-742-4100
  • Fax: 785-742-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number119706
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: