person
Dr. Todd Alan Stastny, MD
General Practice Physician in Lees Summit, Missouri
NPI 1316002975

Todd Alan Stastny is a General Practice Physician based in Blue Springs, MO. Todd Alan Stastny practices in Lees Summit, MO and has the professional credentials of MD. The NPI Number for Todd Alan Stastny is 1316002975 and holds a License No. R2J77 (Missouri).

The current practice location address for Todd Alan Stastny is 400 Sw Longview Blvd Ste 200, Lees Summit, MO and can be reached out via phone at 913-215-5008 and via fax at 913-297-1202.

Location: 400 Sw Longview Blvd Ste 200, Lees Summit, MO, 64014-1702
person
Provider Profile Details
NPI Number
1316002975
Provider Name
Todd Alan Stastny
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Sw Longview Blvd Ste 200, Lees Summit, MO, 64014-1702
Phone Number
913-215-5008
Fax Number
913-297-1202
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080167543 01 MO MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
400 Sw Longview Blvd Ste 200
City
State
Zip
64081-2116
Phone Number
913-215-5008
Fax Number
913-297-1202
person
Provider Business Mailing Address Details
Address
400 Sw Longview Blvd Ste 200
City
State
Zip
64081-2116
Phone Number
913-215-5008
Fax Number
913-297-1202
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
R2J77 (Missouri)
Definition
Definition to come...
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