| NPI | 1255452603 |
|---|---|
| Other Name | RETINA & VITREOUS CONSULTANTS P.C. |
| Entity Type | Organization |
| Authorized Contact | STACY L DEISS Credentialing Manager 314-367-1278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-03-13 |