Individual
DR. STEPHANIE ANNE STAATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6325 LEWIS DR STE 114, PARKVILLE, MO 64152-4501
(816) 505-0100
(816) 505-2301
Mailing address
9904 N WILLOW AVE, KANSAS CITY, MO 64157-1045
(816) 407-9040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03395
MO
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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