Individual
DR. AMY SCHAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2017022259
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017022259
LICENSE NUMBER
MO
Enumeration date
08/16/2017
Last updated
10/22/2018
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