Individual
DR. LOUIS P STICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S NEW BALLAS RD, STE 2030, SAINT LOUIS, MO 63141-8253
(314) 251-1700
(314) 251-1701
Mailing address
625 S NEW BALLAS RD, STE 2030, SAINT LOUIS, MO 63141-8253
(314) 251-1700
(314) 251-5804
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30591
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20088619
—
MO
Enumeration date
05/23/2005
Last updated
04/29/2014
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