IndividualActive
Stephanie Otis, M.D.
NPI 1841226487 · Pediatric Orthopaedic Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1841226487
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 106730 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
621 S New Ballas Rd
Suite 63b
Saint Louis, MO 63141-8232
Phone: (314) 983-4700
Fax: (314) 692-9862
Approximate (ZIP-level) locationGet directions
Mailing address
12639 Old Tesson Rd
Saint Louis, MO 63128-2786
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2013-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.