Basic Information
| Provider Information | |||||||||
| NPI: | 1720472061 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEFFES | ||||||||
| FirstName: | MATTHEW | ||||||||
| MiddleName: | JUDE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 633 EMERSON RD STE 20 | ||||||||
| Address2: | |||||||||
| City: | CREVE COEUR | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631416739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3143253068 | ||||||||
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| Practice Location | |||||||||
| Address1: | 633 EMERSON RD STE 20 | ||||||||
| Address2: | |||||||||
| City: | CREVE COEUR | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631416739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3143253068 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2015 | ||||||||
| LastUpdateDate: | 08/31/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 2021032025 | MO | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.