Provider Demographics
NPI:1841548104
Name:HOWARD, STEVE C IV (BS)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:C
Last Name:HOWARD
Suffix:IV
Gender:M
Credentials:BS
Other - Prefix:
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Mailing Address - Street 1:1503 GREEN BERRY RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-3621
Mailing Address - Country:US
Mailing Address - Phone:573-635-5306
Mailing Address - Fax:573-635-5306
Practice Address - Street 1:1503 GREEN BERRY RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-3621
Practice Address - Country:US
Practice Address - Phone:573-635-5306
Practice Address - Fax:573-635-5306
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory