Organization
STEPHEN R CRESPIN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN RALPH CRESPIN M.D. (PRESIDENT)
(314) 432-1128
Entity
Organization
Contact information
Practice address
777 S NEW BALLAS RD, SUITE 214 EAST, SAINT LOUIS, MO 63141-8705
(314) 432-1128
(314) 432-1853
Mailing address
777 S NEW BALLAS RD, SUITE 214 EAST, SAINT LOUIS, MO 63141-8705
(314) 432-1128
(314) 432-1853
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R3994
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200846707
—
MO
Enumeration date
02/18/2010
Last updated
02/18/2010
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