Organization
STRATO3 LLC
Active
Other names
StratO3 Health STL
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WEBSTER (COO)
(520) 907-5879
Entity
Organization
Contact information
Practice address
14169 MANCHESTER RD STE C, MANCHESTER, MO 63011-4525
(520) 395-0471
Mailing address
14169 MANCHESTER RD STE C, MANCHESTER, MO 63011-4525
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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