Individual
JANIECE N STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4255 LACLEDE AVE, SAINT LOUIS, MO 63108-2814
(314) 257-0060
(314) 912-0208
Mailing address
4255 LACLEDE AVE STE A, SAINT LOUIS, MO 63108-2814
(314) 257-0060
(314) 912-0208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116659
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
036-116659
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
2019014134
MO
207RS0010X
Sports Medicine (Internal Medicine) Physician
U1387
TX
Other
Enumeration date
09/02/2006
Last updated
02/25/2026
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