Individual
DR. STEPHEN MENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
699 GRAVOIS BLUFFS BLVD, FENTON, MO 63026-7715
(636) 349-3005
(636) 305-1021
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
T03209
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317991131
—
MO
01
—
410039572
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
11/18/2014
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