Stacy Sisson

NPI 1164550026 - Technician - 374700000X

NPI Details
NPI 1164550026
Enumeration Date 03/01/2007
Last Updated 06/19/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STACY J STACY
Position OWNER
Phone (314) 960-0957
Fax (314) 846-1161
Practice Location
5608 CLIFF CAVE CROSSING DR
SAINT LOUIS MO, 63129-4368, US
Phone (314) 960-0957
Fax (314) 846-1161
Business Location
5608 CLIFF CAVE CROSSING DR
SAINT LOUIS MO, 63129-4368, US
Phone (314) 960-0957
Fax (314) 846-1161
Toxanomy
Taxonomy Code 374700000X
License State Missouri
License Number 143216
Remove 1164550026 NPI Number
 

According to our database, Stacy Sisson NPI is 1164550026, taxonomy code is 374700000X and license number is 143216, license state is located at Missouri. Stacy Sisson physically located at 5608 Cliff Cave Crossing Dr, Saint Louis MO, 63129-4368. NPI Number 1033115704 has the healthcare provider type.

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1164550026 NPI number is provided on an as is basis without warranty of any kind. 1164550026 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Sisson are for informational purposes only.