STACY BEATY

ST LOUIS, MO
NPI1669499638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: MO  2005004429)
Enumeration Date2006-07-16
Last Update Date2007-07-08
Business Address
-- STACY BEATY MD
1755 S GRAND
ST LOUIS, MO 63104
Phone number: 314-256-3433
Mailing Address
-- STACY BEATY MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-6828