Individual
MAXWELL STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 W INDUSTRIAL DR, O FALLON, MO 63366-1926
(314) 626-3472
Mailing address
18 W INDUSTRIAL DR, O FALLON, MO 63366-1926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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