Individual
DR. STEPHEN S. WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
456 N. NEW BALLAS RD., SUITE 304, ST. LOUIS, MO 63141
(314) 567-6868
(314) 567-0578
Mailing address
456 N. NEW BALLAS RD., SUITE 304, ST. LOUIS, MO 63141
(314) 567-6868
(314) 567-0578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014010845
MO
390200000X
Student in an Organized Health Care Education/Training Program
N/A
—
Other
Enumeration date
04/01/2011
Last updated
09/11/2014
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