Individual
DR. STEPHEN TRACY OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL, SAINT LOUIS, MO 63108-2114
(314) 362-7216
(314) 696-1391
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7216
(314) 696-1391
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
2010042897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209955509
—
MO
Enumeration date
06/11/2007
Last updated
04/17/2025
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