Individual
DR. EDWARD STANLEY JARKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7954 BIG BEND BLVD, WEBSTER GROVES, MO 63119-2717
(314) 962-7580
(314) 962-7580
Mailing address
7954 BIG BEND BLVD, WEBSTER GROVES, MO 63119-2717
(314) 962-7580
(314) 962-7580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02796
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477660769
—
MO
Enumeration date
08/24/2006
Last updated
03/17/2018
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