Individual
MR. CHARLES T STATON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1400
(314) 361-8283
Mailing address
1408 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1400
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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