Provider Demographics
NPI:1225016066
Name:STILL, RICHARD H (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:H
Last Name:STILL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2355 DOUGHERTY FERRY RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3325
Mailing Address - Country:US
Mailing Address - Phone:314-966-4992
Mailing Address - Fax:314-966-4511
Practice Address - Street 1:2355 DOUGHERTY FERRY RD
Practice Address - Street 2:SUITE 410
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-3325
Practice Address - Country:US
Practice Address - Phone:314-966-4992
Practice Address - Fax:314-966-4511
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR9826208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA10590Medicare UPIN