Individual
DR. STANLEY L LIBRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16216 BAXTER RD, STE 325, CHESTERFIELD, MO 63017-4771
(314) 699-4013
(314) 699-4014
Mailing address
16216 BAXTER RD, STE 325, CHESTERFIELD, MO 63017-4771
(314) 699-4013
(314) 699-4014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
014805
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
014805
MO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
105827
MO
208200000X
Plastic Surgery Physician
036086950
IL
208200000X
Plastic Surgery Physician
Primary
105827
MO
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
105827
MO
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
105827
MO
2086S0122X
Plastic and Reconstructive Surgery Physician
105827
MO
208VP0014X
Interventional Pain Medicine Physician
105827
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086950
—
IL
01
—
08232029
BLUE SHIELD
IL
01
—
122497
BLUE SHIELD
MO
05
—
206971236
—
MO
Enumeration date
09/02/2006
Last updated
02/22/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us