Individual
LARRY PAUL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1408 N KINGSHIGHWAY BLVD, SUITE 110, SAINT LOUIS, MO 63113-1400
(314) 361-8283
Mailing address
8 BROADVIEW FARM RD, SAINT LOUIS, MO 63141-8501
(314) 576-4046
(314) 576-4046
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R6898
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201367703
—
MO
Enumeration date
10/05/2005
Last updated
01/27/2010
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