Individual
ANTUAN DILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8616 NEWBY ST, SAINT LOUIS, MO 63147-1921
(314) 249-2642
Mailing address
8616 NEWBY ST, SAINT LOUIS, MO 63147-1921
(314) 249-2642
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MO
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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