Andrea Stephenson, | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(808) 735-9617 | |
Not Available |
Full Name | Andrea Stephenson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013418268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0102206065 (Virginia) | Primary |
Mailing Address | Practice Location Address |
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Andrea Stephenson, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1765 | Andrea Stephenson, 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (808) 735-9617 |
Egberto Toro, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Attn: Mcxp-ccs-cr (credentials), Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Dr. Elena A Rostapshova, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Erica Marie Grimm, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1766 | |
Dr. Roman Oleh Bilynsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 126 Missouri Avenue, Glwach - Attn: Credentials Office, Fort Leonard Wood, MO 65473 Phone: 573-596-0415 Fax: 573-596-0524 | |
Dr. Thomas E Ellwood, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Nicholas Clark, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 800-874-2273 |