Individual
DR. MONTE SCOTT WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
135 EAST 6TH ST, SUITE 101, CONCORDIA, KS 66901-2902
(785) 243-3937
(785) 243-3937
Mailing address
135 EAST 6TH ST, SUITE 101, CONCORDIA, KS 66901-2902
(785) 243-3937
(785) 243-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS1563
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3186815102
—
KS
Enumeration date
05/26/2006
Last updated
10/15/2010
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