Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XL0004X | Low Vision | 2019037323 | MO |
NPI | 1912518101 |
---|---|
Provider Name | Veronica Anne Steibel |
First Address | Saint Louis, MO 63144-2724 |
Second Address | Saint Louis, MO 63144-2724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2020 |
Last Update Date | 12/08/2020 |