Stanley J Sidwell in Saint Louis - Internal Medicine

Stanley J Sidwell - NPI 1073529475

Stanley J Sidwell is a Internal Medicine in Saint Louis, Missouri. Stanley J Sidwell practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Stanley J Sidwell is 1073529475. The last update date is 2019-12-16.

Stanley J Sidwell's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 6184637240 and fax number 6184637216. The mailing address for Stanley J Sidwell is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Stanley J Sidwell
Address 670 Mason Ridge Center Dr, Saint Louis, Missouri
Phone Number 6184637240
Fax Number 6184637216
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073529475
Provider Enumeration Date 2006-07-31
Last Updated Date 2019-12-16

Provider Mailing Address Detail

Address 670 Mason Ridge Center Dr
City Saint Louis
State Missouri (MO)
Post Code 631418573
Phone Number 6184637240
Fax Number 6184637216

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No R5A64
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
360634071 IL --

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FAQs about Stanley J Sidwell

What is the unique 10-digit identification code issued to Stanley J Sidwell by the Centers for Medicare & Medicaid Services?

The Stanley J Sidwell has been assigned the NPI (National Provider Identifier) 1073529475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Stanley J Sidwell located?

The Stanley J Sidwell is located at 670 Mason Ridge Center Dr, Saint Louis, MO 631418573.

What is the area of specialization for Stanley J Sidwell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stanley J Sidwell is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073529475 to Stanley J Sidwell?

The Centers for Medicare & Medicaid Services assigned the 1073529475 to Stanley J Sidwell on 2006-07-31.

As of what date was the information regarding Stanley J Sidwell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Stanley J Sidwell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-12-16.

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