Individual
EDWARD AUGUSTINE STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5800
Mailing address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1508279142
MO
Other
Enumeration date
06/10/2014
Last updated
01/02/2019
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