Individual
DR. BRIAN W. STUFFLEBAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 JUNGERMANN CIR, SUITE 201, ST PETERS, MO 63376-1621
(636) 441-4660
(636) 936-8833
Mailing address
6 JUNGERMANN CIR, SUITE 201, ST PETERS, MO 63376-1621
(636) 441-4660
(636) 936-8833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8573
MO
Other
Enumeration date
06/25/2006
Last updated
03/02/2010
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