NPI | 1700175395 |
---|---|
Doing Business As | THE RETINA INSTITUTE |
Entity Type | Organization |
Authorized Contact | STACY DEISS Credentialing Specialist 314-367-1181 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
Enumeration Date | 2011-04-04 |
Last Update Date | 2024-09-03 |