Individual
STEPHANIE BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7419 WATSON RD, SAINT LOUIS, MO 63119-4415
(314) 400-3360
(314) 400-3363
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012022374
MO
Other
Enumeration date
07/14/2012
Last updated
12/14/2018
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