COLLIN MILES STUTZ

SAINT LOUIS, MO
NPI1568788925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: MO  2014006169)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MO  2014015503)
Enumeration Date2010-04-10
Last Update Date2014-09-07
Business Address
Dr. COLLIN MILES STUTZ DDS, MD
605 OLD BALLAS RD
SAINT LOUIS, MO 63141-7000
Phone number: 314-256-2135
Mailing Address
Dr. COLLIN MILES STUTZ DDS, MD
605 OLD BALLAS RD STE 130
SAINT LOUIS, MO 63141-7070
Phone number: 314-256-2135