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Dr. Louis P Stickley

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NPI Number Detailed Information

Provider Information:

Name: Dr. Louis P Stickley
Gender: M
Provider License Number If Given: 30591

NPI Information:

NPI: 1295738201
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 4/29/2014

Provider Business Mailing Address:

Address: 625 S NEW BALLAS RD STE 2030
Saint Louis, MO 63141
Phone Number: 3142511700
Fax Number: 3142515804

Provider Business Practice Location Address:

Address: 625 S NEW BALLAS RD STE 2030
Saint Louis, MO 63141
Phone Number: 3142511700
Fax Number: 3142511701

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any):
State: MO

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