NPI 1497838387

Stephanie Park, MD

Practitioner Allergy & Immunology Physician Chesterfield, MO

Practice location

Address: 1585 Woodlake Dr Suite 201, Chesterfield, MO 63017-5740
Phone: (314) 878-2788
Fax: (314) 878-8988
Mailing address: 6624 Waterman Ave, Saint Louis, MO 63130-4659

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 2005005835 (MO)

Other Allergy & Immunology providers in Missouri →

Registry record

NPI: 1497838387
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2006
Record last updated: 3 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.