Stotter, Brian Ross

Stotter, Brian Ross is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Nephrology, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Stotter, Brian Ross can be contacted via phone (314) 454-6043.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Nephrology Saint Louis MO 63110-1002
Fax: (888) 463-6898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2019019576 Missouri
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 2019019576 Missouri

Profile Details

NPI number 1649619453
LBN Legal business name Stotter, Brian Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2013
Last updated Apr 25th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649619453 NPPES
Missouri MEDICAID 200071798

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