STEPHEN P WHITESIDES

SAINT LOUIS, MO
NPI1669851747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MO  2015034271)
Enumeration Date2015-05-22
Last Update Date2015-10-08
Business Address
Mr. STEPHEN P WHITESIDES AA-C
615 S NEW BALLAS RD DEPT. OF ANESTHESIA
SAINT LOUIS, MO 63141-8221
Phone number: 636-386-9224
Mailing Address
Mr. STEPHEN P WHITESIDES AA-C
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224