Individual
THEBE BAGWASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6708
(636) 410-8285
(636) 410-8397
Mailing address
2100 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6708
(636) 410-8285
(636) 410-8397
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2004003244
MO
Other
Enumeration date
08/05/2006
Last updated
06/17/2024
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