Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 110511 | MO |
NPI | 1023064284 |
---|---|
Provider Name | Dr. Renee M Stein |
First Address | Saint Louis, MO 63127-1019 |
Second Address | Saint Louis, MO 63127-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 15/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204851901 | (05) | MO |
430833 | HEALTHLINK (01) | MO |
H10245 | (02) | MO |