Individual
OSCAR HANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
253 DUNN ROAD, FLORISSANT, MO 63031
(314) 921-7770
(314) 921-1417
Mailing address
253 DUNN ROAD, FLORISSANT, MO 63031
(314) 921-7770
(314) 921-1417
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R4889
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27171
BLUE CROSS BLUE SHIELD
MO
Enumeration date
10/04/2006
Last updated
07/08/2007
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