Individual
SEAN P MULQUEENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
612 N NEW BALLAS ROAD, CREVE COEUR, MO 63141-6714
(314) 542-3600
(314) 542-4041
Mailing address
612 N NEW BALLAS RD, CREVE COEUR, MO 63141-6714
(314) 542-3600
(314) 542-4041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03017
MO
Other
Enumeration date
07/13/2006
Last updated
06/29/2012
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