Individual provider · Type 1 NPI

Stanley Mathew

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1730979816 Active

Practice location

1500 Park Ave
St. Louis, MO 63104-3024

Call (214) 778-9299 Map

Mailing address

2862 Woodbury Dr
St. Louis, MO 63125-5124

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730979816

Stanley Mathew's National Provider Identifier is 1730979816, issued on May 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on May 19, 2025.