| NPI | 1629105259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DEBORAH KUTZ Credentialing & Billing Specialist 314-352-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0009X Ophthalmology, Glaucoma Specialist |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-06-10 |