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NPI Code Detail

MEDICARE: STANLEY WU CAA

MEDICARE: STANLEY WU CAA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantTX
2367H00000XAnesthesiologist AssistantPENDINGMO

General Provider Information

NPI Number : 1184465502
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY WU CAA
Provider Business Mailing Address
First Line : 1145 CHAMBERS RD APT 409
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-1877
Country : US
Telephone Number : 925-222-9975
Fax Number :
Provider Business Practice Location Address
First Line : 615 S NEW BALLAS RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8221
Country : US
Telephone Number : 314-251-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2024
Last Update Date : 12/16/2025

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Directions to “ STANLEY WU CAA” Practice Location

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