IndividualActive
Stephanie Park, M.D.
NPI 1497838387 · Allergy & Immunology Physician · Chesterfield, MO
Provider details
- NPI number
- 1497838387
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2005005835 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1585 Woodlake Dr
Suite 201
Chesterfield, MO 63017-5740
Phone: (314) 878-2788
Fax: (314) 878-8988
Approximate (ZIP-level) locationGet directions
Mailing address
6624 Waterman Ave
Saint Louis, MO 63130-4659
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2011-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.