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NPI Code Detail

MEDICARE: STEPHANIE D BAGBY-STONE M.D.

MEDICARE: STEPHANIE D BAGBY-STONE M.D.
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
12084P0800XPsychiatry Physician2003007032MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679530679
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE D BAGBY-STONE M.D.
Provider Business Mailing Address
First Line : PO BOX 843966
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-3966
Country : US
Telephone Number : 573-884-3300
Fax Number : 573-884-0943
Provider Business Practice Location Address
First Line : 3 HOSPITAL DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-5276
Country : US
Telephone Number : 573-882-2511
Fax Number : 573-884-1070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 08/16/2022

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