Provider Demographics
NPI:1679629299
Name:PAGE, STEPHANIE (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:PAGE
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Gender:F
Credentials:MD
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Other - Middle Name:
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Mailing Address - Street 1:2401 GILLHAM ROAD
Mailing Address - Street 2:CHILDRENS MERCY HOSPITAL
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-234-3016
Mailing Address - Fax:816-855-1721
Practice Address - Street 1:2401 GILLHAM ROAD
Practice Address - Street 2:CHILDRENS MERCY HOSPITAL
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108
Practice Address - Country:US
Practice Address - Phone:816-234-3016
Practice Address - Fax:816-855-1721
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2010-09-02
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Provider Licenses
StateLicense IDTaxonomies
MO2007015931208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics