Individual
MELISSA ANNE STAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8011
Mailing address
7733 WEIL AVE, SAINT LOUIS, MO 63119-3303
(314) 644-6965
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
106924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821218678
—
MO
Enumeration date
04/26/2007
Last updated
09/27/2017
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