Individual
CHAD AUSTIN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 268-7133
Mailing address
3959 KEOKUK ST, SAINT LOUIS, MO 63116-3511
(636) 634-8189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2023026683
MO
Other
Enumeration date
04/03/2020
Last updated
07/15/2023
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