Individual
STEWART G ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3660 VISTA, ST LOUIS, MO 63110
(314) 977-6157
(314) 977-5177
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R6729
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200700201
—
MO
05
—
354671002
—
IL
Enumeration date
08/08/2006
Last updated
01/12/2021
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