Healthcare Provider Details

I. General information

NPI: 1033116579
Provider Name (Legal Business Name): STEVEN CLARK STONER PHARM.D., BCPP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 FREDERICK AVE NMPRC
SAINT JOSEPH MO
64506-2914
US

IV. Provider business mailing address

8112 NW 80TH TER
KANSAS CITY MO
64152-4633
US

V. Phone/Fax

Practice location:
  • Phone: 816-387-2580
  • Fax: 816-387-2391
Mailing address:
  • Phone: 816-387-2580
  • Fax: 816-387-2391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number44540
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: