Individual
CODY ADAM STIEGLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 SHACKELFORD RD, FLORISSANT, MO 63031-4369
(314) 921-4420
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
Primary
2024007251
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
08/06/2019
Last updated
02/26/2024
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