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Individual

DR. BARBARA WILLIS BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1592 COUNTRY CLUB PLAZA DR, SAINT CHARLES, MO 63303-3859
(636) 949-2900
(636) 949-2270
Mailing address
2533 WOODSON RD, SAINT LOUIS, MO 63114-5436
(314) 423-3874
(888) 423-0074

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02948
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11769916
CAQH
MO
01
TO2948
MISSOURI LICENSE
MO
Enumeration date
05/25/2007
Last updated
01/13/2011
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