Individual
DR. STEPHEN FRANCIS STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4438 TELEGRAPH RD, SAINT LOUIS, MO 63129-3316
(314) 543-5996
(314) 543-5958
Mailing address
4438 TELEGRAPH RD, SAINT LOUIS, MO 63129-3316
(314) 543-5996
(314) 543-5958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2E40
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203000179
—
MO
Enumeration date
07/21/2005
Last updated
03/14/2017
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