Individual
DR. STEPHANIE JEAN BECKER-KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1011 BOWLES AVE STE G50, FENTON, MO 63026-0562
(636) 496-4640
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2009010644
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009010644
PHYSICIAN LICENSE
MO
Enumeration date
06/23/2007
Last updated
10/20/2020
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