Individual
MARY OPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1480 WOODSTONE DR STE 107, SAINT CHARLES, MO 63304-6872
(636) 477-6677
Mailing address
1480 WOODSTONE DR, SAINT CHARLES, MO 63304-6869
(636) 477-6677
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2007036260
MO
Other
Enumeration date
05/21/2012
Last updated
04/12/2018
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