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Dr. Christy L. Richardson, MD

Accepting New Patients
(Christy Richardson, MD)
Specializes in: Physician and Endocrinology Diabetes & Metabolism
University of Missouri-Columbia School of Medicine
Professional interests include: fine needle aspiration (FNA), diabetes management, thyroid problems
12277 De Paul Drive Suite 403
Bridgeton, MO 63044

Dr. Christy L. Richardson, MD is a physician provider in Bridgeton, MO specializing in physician and endocrinology diabetes & metabolism. She graduated from University of Missouri-Columbia School of Medicine. Dr. Christy L. Richardson, MD is affiliated with SSM Health.

View Doctor's Full Profile (314) 738-2715

Office Locations

12277 De Paul Drive Suite 403
Bridgeton, MO 63044
open_in_new

Some issues Dr. Christy L. Richardson, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

  • Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
  • Graves' disease, an autoimmune disease that causes hyperthyroidism
  • Goiter
  • Thyroid nodule
  • Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

In The News 

“"A new pandemic is now laying itself on top of an ongoing epidemic," said Dr. Christy Richardson, an endocrinologist at SSM Health in Missouri.”—"Studies Begin to Untangle Obesity's Role in Covid-19", New York Times, September 2020

Noteworthy Medicare Patient Procedures Performed by Dr. Christy L. Richardson, MD in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Affordability:

hospital care
inpatient care
inpatient hospital care

In 2012, Dr. Christy L. Richardson, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2012 were lab tests, diabetes management, hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

diabetes management 1221
doctor visit 1012
hospital care 467
inpatient care 467
lab tests 1221
preventive care 401

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2013 were lab tests, diabetes management, preventive care and hospital care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

diabetes management 1321
doctor visit 975
hospital care 364
inpatient care 364
lab tests 1321
preventive care 545

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 165
Female 356
Ethnicity
Non-Hispanic White 0
Black 262
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 221
From 75 to 84 109
85 and over 34
Less than 65 157

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2013

Hypertension 75
High Cholesterol 74
Stroke 9
Ischemic Heart Disease 46
Depression 27
Chronic Kidney Disease 48
Asthma 13
Osteoperosis 8
Atrial Fibrilation 8
Heart Failure 28
Chronic Obstructive Pulmonary Disease 20
Diabetes 75
Dementia 10
Cancer 10

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2014 were hospital care, inpatient care, lab tests and diabetes management.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

diabetes management 183
doctor visit 962
hospital care 319
inpatient care 319
lab tests 183
preventive care 80

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 176
Female 342
Ethnicity
Non-Hispanic White 249
Black 258
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 225
From 75 to 84 109
85 and over 35
Less than 65 149

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2014

Hypertension 75
High Cholesterol 71
Stroke 8
Ischemic Heart Disease 44
Depression 30
Chronic Kidney Disease 51
Asthma 14
Osteoperosis 9
Atrial Fibrilation 9
Heart Failure 28
Chronic Obstructive Pulmonary Disease 19
Diabetes 75
Dementia 10
Cancer 9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 831
hospital care 250
inpatient care 250

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 344
Female 642
Ethnicity
Non-Hispanic White 476
Black 488
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 432
From 75 to 84 232
85 and over 78
Less than 65 244

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2015

Hypertension 75
High Cholesterol 75
Stroke 10
Ischemic Heart Disease 40
Depression 30
Chronic Kidney Disease 59
Asthma 18
Osteoperosis 10
Atrial Fibrilation 10
Heart Failure 29
Chronic Obstructive Pulmonary Disease 17
Diabetes 75
Dementia 12
Cancer 11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 666
hospital care 148
inpatient care 148

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 146
Female 296
Ethnicity
Non-Hispanic White 0
Black 221
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 193
From 75 to 84 111
85 and over 37
Less than 65 101

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2016

Hypertension 75
High Cholesterol 72
Stroke 8
Ischemic Heart Disease 41
Depression 29
Chronic Kidney Disease 74
Asthma 24
Osteoperosis 11
Atrial Fibrilation 11
Heart Failure 33
Chronic Obstructive Pulmonary Disease 19
Diabetes 75
Dementia 13
Cancer 10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 602
hospital care 148
inpatient care 148

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 123
Female 275
Ethnicity
Non-Hispanic White 0
Black 199
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 175
From 75 to 84 96
85 and over 35
Less than 65 92

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2017

Hypertension 75
High Cholesterol 62
Stroke 10
Ischemic Heart Disease 40
Depression 29
Chronic Kidney Disease 75
Asthma 12
Osteoperosis 12
Atrial Fibrilation 9
Heart Failure 31
Chronic Obstructive Pulmonary Disease 19
Diabetes 75
Dementia 12
Cancer 12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2018 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 637
hospital care 138
inpatient care 138

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 121
Female 284
Ethnicity
Non-Hispanic White 200
Black 194
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 180
From 75 to 84 106
85 and over 34
Less than 65 85

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2018

Hypertension 75
High Cholesterol 75
Stroke 7
Ischemic Heart Disease 40
Depression 27
Chronic Kidney Disease 70
Asthma 8
Osteoperosis 11
Atrial Fibrilation 9
Heart Failure 28
Chronic Obstructive Pulmonary Disease 15
Diabetes 75
Dementia 11
Cancer 12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2019 were hospital care, inpatient care, ultrasound (sonogram) and neck imaging.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 618
hospital care 146
inpatient care 146
neck imaging 11
ultrasound (sonogram) 11

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 119
Female 279
Ethnicity
Non-Hispanic White 202
Black 185
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 174
From 75 to 84 116
85 and over 33
Less than 65 75

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2019

Hypertension 75
High Cholesterol 75
Stroke 7
Ischemic Heart Disease 37
Depression 29
Chronic Kidney Disease 72
Asthma 9
Osteoperosis 9
Atrial Fibrilation 9
Heart Failure 30
Chronic Obstructive Pulmonary Disease 17
Diabetes 75
Dementia 13
Cancer 11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 515
hospital care 74
inpatient care 74

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 95
Female 238
Ethnicity
Non-Hispanic White 164
Black 158
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 151
From 75 to 84 94
85 and over 24
Less than 65 64

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2020

Hypertension 75
High Cholesterol 75
Stroke 5
Ischemic Heart Disease 35
Depression 27
Chronic Kidney Disease 73
Asthma 10
Osteoperosis 12
Atrial Fibrilation 7
Heart Failure 28
Chronic Obstructive Pulmonary Disease 16
Diabetes 75
Dementia 9
Cancer 8

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 596
hospital care 133
inpatient care 133

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 101
Female 255
Ethnicity
Non-Hispanic White 179
Black 165
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 170
From 75 to 84 95
85 and over 25
Less than 65 66

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2021

Hypertension 75
High Cholesterol 75
Stroke 9
Ischemic Heart Disease 33
Depression 25
Chronic Kidney Disease 73
Asthma 12
Osteoperosis 13
Atrial Fibrilation 8
Heart Failure 28
Chronic Obstructive Pulmonary Disease 15
Diabetes 75
Dementia 10
Cancer 8

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 538
hospital care 141
inpatient care 141

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 109
Female 250
Ethnicity
Non-Hispanic White 184
Black 161
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 182
From 75 to 84 106
85 and over 25
Less than 65 46

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2022

Hypertension 75
High Cholesterol 75
Stroke 9
Ischemic Heart Disease 30
Depression 20
Chronic Kidney Disease 50
Asthma 14
Osteoperosis 17
Atrial Fibrilation 15
Heart Failure 25
Chronic Obstructive Pulmonary Disease 18
Diabetes 75
Dementia 8
Cancer 15

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 514
hospital care 141
inpatient care 141

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 96
Female 237
Ethnicity
Non-Hispanic White 172
Black 147
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 172
From 75 to 84 97
85 and over 21
Less than 65 43

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2023

Hypertension 75
High Cholesterol 75
Stroke 13
Ischemic Heart Disease 31
Depression 23
Chronic Kidney Disease 50
Asthma 14
Osteoperosis 17
Atrial Fibrilation 14
Heart Failure 26
Chronic Obstructive Pulmonary Disease 19
Diabetes 75
Dementia 7
Cancer 14

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO during 2024 were hospital care and inpatient care.

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

doctor visit 519
hospital care 57
inpatient care 57

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Male 102
Female 232
Ethnicity
Non-Hispanic White 182
Black 137
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 165
From 75 to 84 104
85 and over 25
Less than 65 40

Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD in 2024

Hypertension 75
High Cholesterol 75
Stroke 9
Ischemic Heart Disease 33
Depression 23
Chronic Kidney Disease 50
Asthma 14
Osteoperosis 19
Atrial Fibrilation 17
Heart Failure 26
Chronic Obstructive Pulmonary Disease 19
Diabetes 75
Dementia 7
Cancer 15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Christy L. Richardson, MD for Medicare patients.

The highest averages for the top procedures that Dr. Christy L. Richardson, MD treated as a physician provider in Bridgeton, MO were lab tests, diabetes management, preventive care and hospital care.

diabetes management 908
doctor visit 691
hospital care 194
inpatient care 194
lab tests 908
neck imaging 11
preventive care 342
ultrasound (sonogram) 11

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Christy L. Richardson, MD.

Gender
Female 283
Male 130
Ethnicity
Black / African American 198
Asian / Pacific Islander 0
Non-Hispanic White 154
Native American / Alaskan Native 0
Hispanic 0
Other 0
Age
75 to 84 105
85 and over 31
Less than 65 89
65 to 74 187

Average of Total of Conditions of Medicare patients treated by Dr. Christy L. Richardson, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Christy L. Richardson, MD treated were diabetes, hypertension, high cholesterol and chronic kidney disease.

Hypertension 69
High Cholesterol 67
Stroke 8
Ischemic Heart Disease 34
Depression 24
Chronic Kidney Disease 57
Asthma 12
Osteoporosis 11
Heart Failure 26
Chronic Obstructive Pulmonary Disease 16
Diabetes 69
Atrial Fibrillation 9
Dementia 9
Cancer 10

Education & Training

Dr. Christy L. Richardson, MD graduated from University of Missouri-Columbia School of Medicine. She completed residency at Emory University Affiliated Hospitals. She is certified by the American Board of Internal Medicine/Endocrinology, Diabetes & Metabolism Missouri State Board of Registration and has a state license in Illinois.

Medical School: University of Missouri-Columbia School of Medicine

Residency: Emory University Affiliated Hospitals

Board Certification: American Board of Internal Medicine/Endocrinology, Diabetes & Metabolism Missouri State Board of Registration

Licensed In: Illinois

Affiliations & Hospitals

Dr. Christy L. Richardson, MD is associated with these hospitals and organizations:

SSM Health

Ratings & Reviews

Dr. Christy L. Richardson, MD has an exceptional overall rating with an average of 4.9 out of 5 stars based on 322 ratings. We collect ratings and reviews of Dr. Christy L. Richardson, MD from all over the web to help you find the right in Bridgeton, MO. 

4.9
Overall Rating
Leave a Review
Reviews Left On DocSpot
Overall Rating: 5.0 2024-06-02 
Dr. Richardson is incredible! She taken great care of my health for over 20+, she is lovely to speak with at every appointment. It’s rare to find a doctor that combines such personal touches and care for a patient as a person with outstanding quality of medical care. I highly recommend becoming her patient!

General Payments

These charts describe general payments received by Dr. Christy L. Richardson, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Lilly USA, LLC $121,924 HUMULIN
$85,576 		JARDIANCE
$12,757 		LYUMJEV
$3,850 		GLYXAMBI
$2,081 		TRULICITY
$1,504 		Other
$16,156
Boehringer Ingelheim Pharmaceuticals, Inc. $49,537 JARDIANCE
$30,928 		GLYXAMBI
$9,496 		TRADJENTA
$6,881
$2,232
Medtronic MiniMed, Inc. $3,560 Diabetes Management Software - CareLink
$1,363 		Minimed 630G
$1,123 		Minimed 670G System
$575 		Insulin pump
$276 		iPro2
$98 		Other
$123
VIVUS, Inc. $1,387 QSYMIA
$1,387
SANOFI-AVENTIS U.S. LLC $696 TOUJEO
$437 		SOLIQUA 100/33
$112 		SOTAGLIFLOZIN
$91 		SOLIQUA
$57
Other $3,267 FARXIGA
$444 		FreeStyle Libre Pro
$427 		Androgel
$296 		MINIMED 780G
$254 		Dexcom CGM
$229 		Other
$1,617
Types of Payments
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $117,875
Consulting Fee $27,794
Travel and Lodging $21,501
Food and Beverage $11,765
Honoraria $1,350
Other $86

Biography

Dr. Christy Richardson is a Bridgeton, MO physician who specializes in general practice and endocrinology. She attended the University of Missouri-Columbia School of Medicine and subsequently trained at a hospital affiliated with Emory University for residency. She is especially interested in diabetes management, thyroid problems, and fine needle aspiration (FNA). Dr. Richardson is rated 5.0 stars (out of 5) by her patients. Dr. Richardson is professionally affiliated with SSM Health DePaul Hospital and SSM Health St. Joseph Hospital - St. Charles. Her practice in Bridgeton, MO is open to new patients as reported by Yext.

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