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Individual

DR. JAY STUART EPSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4488 FOREST PARK AVE, STE 230, SAINT LOUIS, MO 63108-2283
(314) 535-7855
(314) 534-2803
Mailing address
4488 FOREST PARK AVE, STE 230, SAINT LOUIS, MO 63108-2283
(314) 535-7855
(314) 534-2803

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3P06
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204813901
MO
Enumeration date
05/24/2006
Last updated
11/29/2021
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