Individual
MR. STEPHEN ANGELO BOVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 BOWLES AVE, SUITE 215, FENTON, MO 63026-2395
(636) 680-1960
(636) 680-1964
Mailing address
1011 BOWLES AVE, SUITE 215, FENTON, MO 63026-2395
(636) 680-1960
(636) 680-1964
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
112092
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208651604
—
MO
Enumeration date
07/12/2006
Last updated
11/06/2012
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