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Individual

DR. MAUREEN E STOFFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3009 N BALLAS RD STE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-7317
Mailing address
3009 N BALLAS RD STE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-7317

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
103680
MO
207R00000X
Internal Medicine Physician
Primary
103680
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208802900
MO
Enumeration date
03/29/2006
Last updated
01/08/2014
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