Organization
STEPHANIE KROGH OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE ELAINE FITZGERALD O.D. (OPTOMETRIST)
(314) 968-6432
Entity
Organization
Contact information
Practice address
2440 ANNALEE AVE, SAINT LOUIS, MO 63144-2210
(314) 968-6432
Mailing address
100 THF BLVD, CHESTERFIELD, MO 63005-1123
(636) 536-4609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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