LIZA STANTON

O FALLON, MO
NPI1508976523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  110103)
Enumeration Date2006-08-30
Last Update Date2012-05-18
Business Address
-- LIZA STANTON
2630 HIGHWAY K
O FALLON, MO 63368-6624
Phone number: 636-240-5454
Mailing Address
-- LIZA STANTON
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8573
Phone number: 636-240-5454
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