Provider Demographics
NPI:1588682272
Name:STEIN, ALAN JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JOEL
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10A RIO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1745
Mailing Address - Country:US
Mailing Address - Phone:314-605-2526
Mailing Address - Fax:
Practice Address - Street 1:10A RIO VISTA DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1745
Practice Address - Country:US
Practice Address - Phone:314-605-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7748208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
184368OtherMO-BLUE SHIELD
MO208784603Medicaid
MO208784603Medicaid