Individual
DR. STEPHANIE L SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
20 PROGRESS POINT PKWY, SUITE 206, O FALLON, MO 63368-2206
(636) 344-1073
(636) 344-1075
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(636) 344-1073
(636) 344-1075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2004012744
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208778902
—
MO
Enumeration date
05/30/2005
Last updated
02/04/2021
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