Provider Demographics
NPI:1790836815
Name:OZAR, STUART JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:JAY
Last Name:OZAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8820 LADUE ROAD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124
Mailing Address - Country:US
Mailing Address - Phone:314-725-2828
Mailing Address - Fax:314-726-9508
Practice Address - Street 1:8820 LADUE ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124
Practice Address - Country:US
Practice Address - Phone:314-725-2828
Practice Address - Fax:314-726-9508
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2015-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR5C172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA12488Medicare UPIN
9900Medicare ID - Type Unspecified