Organization
PERFECT SENSE EYE CENTER ST. JOE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN B WILES M.D. (PRESIDENT)
(816) 279-7015
Entity
Organization
Contact information
Practice address
3201 ASHLAND AVE, SAINT JOSEPH, MO 64506-1504
(816) 279-7015
(816) 364-1100
Mailing address
3201 ASHLAND AVE, SAINT JOSEPH, MO 64506-1504
(816) 279-7015
(816) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
536071301
—
MO
Enumeration date
06/16/2006
Last updated
06/08/2012
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