Provider Demographics
NPI:1033116579
Name:STONER, STEVEN CLARK (PHARMD, BCPP)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CLARK
Last Name:STONER
Suffix:
Gender:M
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8112 NW 80TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64152-4633
Mailing Address - Country:US
Mailing Address - Phone:816-387-2580
Mailing Address - Fax:816-387-2391
Practice Address - Street 1:3505 FREDERICK AVE
Practice Address - Street 2:NMPRC
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2914
Practice Address - Country:US
Practice Address - Phone:816-387-2580
Practice Address - Fax:816-387-2391
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO445401835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO44540Medicare ID - Type UnspecifiedPSYCHOPHARMACOLOGY - PHAR