Individual
PAUL M STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N NEW BALLAS RD, SUITE 110, SAINT LOUIS, MO 63141-6825
(314) 872-8470
(314) 872-8472
Mailing address
555 N NEW BALLAS RD, SUITE 110, SAINT LOUIS, MO 63141-6825
(314) 872-8470
(314) 872-8472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682
BNDD
MO
05
—
202641627
—
MO
01
—
33452
MEDICAL LICENSE
MO
Enumeration date
10/17/2006
Last updated
03/07/2023
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