Individual
DR. MARISSA CHRISTINE STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 231-3690
(636) 231-3693
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 231-3690
(636) 231-3693
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2004007508
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
2004007508
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2004007508
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206232407
—
MO
Enumeration date
07/17/2006
Last updated
01/23/2012
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