Stuppy, Mary

Stuppy, Mary is an individual health care provider with primary practice located at 2817 Saint Johns Blvd , Joplin MO 64804-1563. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Stuppy, Mary can be contacted via phone (417) 781-2727.

Contact Information

Primary practice address
2817 Saint Johns Blvd Joplin MO 64804-1563
Phone: (417) 781-2727
Fax: (417) 625-2279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 102912 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 102912 Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 102912 Missouri

Profile Details

NPI number 1265409890
LBN Legal business name Stuppy, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Feb 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265409890 NPPES
Missouri MEDICAID 208646123
Missouri MEDICAID 100182790B
Missouri MEDICAID 100368050E

Popular Providers