MEDICARE: STEPHEN C ROBINSON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	000370	MO

General Provider Information

NPI Number	:	1558393694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN C ROBINSON DPM

Provider Business Mailing Address
First Line	:	4240 BLUE RIDGE BLVD
Second Line	:	SUITE 610
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-0000
Country	:	US
Telephone Number	:	816-356-9850
Fax Number	:	816-356-6557

Provider Business Practice Location Address
First Line	:	4240 BLUE RIDGE BLVD
Second Line	:	SUITE 610
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-0000
Country	:	US
Telephone Number	:	816-356-9850
Fax Number	:	816-356-6557

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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Directions to “ STEPHEN C ROBINSON DPM” Practice Location

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