Healthcare Provider Details

I. General information

NPI: 1174532493
Provider Name (Legal Business Name): DOROTHY E STEGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DOROTHY E SWINGLE

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 S BUSINESS 61
BOWLING GREEN MO
63334-5239
US

IV. Provider business mailing address

1005 BROADWAY ST
QUINCY IL
62301-2834
US

V. Phone/Fax

Practice location:
  • Phone: 573-324-2063
  • Fax: 573-324-2167
Mailing address:
  • Phone: 217-223-8400
  • Fax: 217-277-3960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2020038123
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: