Individual
DR. PAMELA COSLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6157 MID RIVERS MALL DR, SAINT PETERS, MO 63304-1105
(636) 926-3647
(636) 926-3684
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313791915
—
MO
01
—
410042621
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
11/18/2014
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