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NPI Code Detail

MEDICARE: JULIEANN STOVER MD

MEDICARE:   JULIEANN  STOVER  MD
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
12085R0202XDiagnostic Radiology Physician63571WI

General Provider Information

NPI Number : 1790003622
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIEANN STOVER MD
Provider Business Mailing Address
First Line : 901 E 104TH ST
Second Line : MAILSTOP 400N
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number : 816-502-8752
Fax Number : 816-932-9670
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST STE 1000
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5962
Country : US
Telephone Number : 816-932-5350
Fax Number : 816-932-5842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2010
Last Update Date : 11/17/2017

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Directions to “ JULIEANN STOVER MD” Practice Location

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