Individual
STEPHEN WALTER PITCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3200 CHOUTEAU AVE, SAINT LOUIS, MO 63103-2910
(314) 977-1250
Mailing address
739 MONTEGO DR, SAINT LOUIS, MO 63126-1429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009003957
MO
363LF0000X
Family Nurse Practitioner
Primary
2016019534
MO
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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