Individual
DR. STEPHANIE L MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1345 SMIZER MILL RD STE 1100, FENTON, MO 63026-7305
(636) 496-5023
(636) 496-5055
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015029972
MO
Other
Enumeration date
06/27/2013
Last updated
11/03/2020
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