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Contact Information

MARY STUPPY, MD
2817 SAINT JOHNS BLVD
JOPLIN, MO64804-1563
 Phone: 417-781-2727
 Fax: 417-625-2279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MARY STUPPY · (Female)

NPI # 1265409890
Status Active
Credentials MD
Entity Individual
Enumeration date 03/02/2006
Last updated 02/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 102912
  • KS Medicaid 100368050E
  • MO Medicaid 208646123
  • OK Medicaid 100182790B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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