Branden Stephens, ACT
Plastic Surgery in Columbia, MO. Individual provider (NPI-1).
NPI number1144880337
StatusActive
Last updated in NPPESJun 19, 2019
Details
- NPI
- 1144880337
- Entity type
- Individual (NPI-1)
- Name
- Mr. Branden Stephens
- Credential
- ACT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2019
- Last updated
- Jun 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 2013029731 | MO | Yes |
Practice location
100 MatcColumbia, MO 65203
Phone 573-882-6501
Mailing address
100 MatcColumbia, MO 65203
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