Organization
RETINA CONTRACTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLONIE W DUDNEY M.D. (M.D/PRESIDENT)
(314) 839-1211
Entity
Organization
Contact information
Practice address
4111 N ILLINOIS ST, SWANSEA, IL 62226-7609
(314) 839-1211
Mailing address
PO BOX 37039, SAINT LOUIS, MO 63141-1539
(314) 432-2580
(314) 991-8960
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/27/2015
Last updated
01/30/2018
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