Organization
RETINA & VITREOUS CONSULTANTS INC
Active
Other names
RETINA & VITREOUS CONSULTANTS P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY L DEISS (CREDENTIALING MANAGER)
(314) 367-1278
Entity
Organization
Contact information
Practice address
1034 S BRENTWOOD BLVD, SUITE 1625, SAINT LOUIS, MO 63117-1223
(314) 881-1211
(314) 727-0705
Mailing address
1600 S BRENTWOOD BLVD, SUITE 800, SAINT LOUIS, MO 63144-1320
(314) 367-1278
(314) 968-5117
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
03/13/2012
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