Individual
JOHN A STITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 VISTA, ST LOUIS, MO 63110
(314) 577-8887
(314) 268-5111
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-3828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
R1K77
MO
207YP0228X
Pediatric Otolaryngology Physician
Primary
R1K77
MO
Other
Enumeration date
07/17/2006
Last updated
09/11/2025
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