Individual
DR. SONIA SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
401 N EUCLID AVE, SAINT LOUIS, MO 63108-1601
(314) 367-1848
Mailing address
PO BOX 207158, DALLAS, TX 75320-7158
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13885
CA
152W00000X
Optometrist
Primary
2012025596
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114254281
—
MO
01
—
12057226
CAQH
MO
Enumeration date
11/11/2009
Last updated
03/03/2020
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