Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Dale Stuber, MD

Individual provider Surgery Physician · NPI 1750887766

Dr. Jacqueline Dale Stuber, MD is a Vascular Surgery in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12634 Olive Blvd Div Surg Vascular
Saint Louis, MO 63141-6337
Phone: (314) 273-7373
Fax: (888) 840-6225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 2025030569 (MO)
Surgery Physician Taxonomy 208600000X · Licence 2025030569 (MO)

Record details

NPI number1750887766
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESJune 22, 2026
Certification dateJune 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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