Individual
CLAY S STULCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA - STUDENT
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(636) 386-7222
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2021029275
MO
Other
Enumeration date
03/15/2021
Last updated
07/26/2021
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