Individual
STAFFORD GEORGE BROWN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S. EUCLID AVENUE, MSC 8123-29-10014, ST. LOUIS, MO 63110
(314) 454-8622
Mailing address
660 S. EUCLID AVENUE, MSC 8123-29-10014, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2024026119
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/12/2023
Last updated
07/09/2024
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