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1902119290
STEPHANIE E. PENDERGRASS
SPRINGFIELD, MO
NPI
1902119290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2011028624)
Enumeration Date
2010-07-15
Last Update Date
2023-07-06
Business Address
Dr. STEPHANIE E. PENDERGRASS MD
3525 E BATTLEFIELD ST
SPRINGFIELD, MO 65809-3435
Phone number: 417-269-1499
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Mailing Address
Dr. STEPHANIE E. PENDERGRASS MD
PO BOX 802843
KANSAS CITY, MO 64180-2843
Phone number: 417-730-6430
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