Doctor Name: | DR. STEPHANIE JEAN BECKER-KOEPKE |
NPI Number: | 1063618379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 2009010644 |
Business Practice Address: | 1011 Bowles Ave Ste G50 Fenton, MO - 630261850 |
Business Phone Number: | 6364964640 |
Business Fax Number: | 6364964692 |
Mailing Address: | 10777 Sunset Office Dr, Ste 310 ST. LOUIS |
State: | MO |
Postal Code: | 63127 |
Phone Number: | 3148225900 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2007 |
NPI Last Update Date: | 04/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | 2009010644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |