Organization
OPHTHALMOLOGY WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY DAVID MILDER M.D. (OWNER)
(314) 432-7010
Entity
Organization
Contact information
Practice address
522 N NEW BALLAS RD, SUITE 136, SAINT LOUIS, MO 63141-6857
(314) 432-7010
Mailing address
522 N NEW BALLAS RD, SUITE 136, SAINT LOUIS, MO 63141-6857
(314) 432-7010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500005400
—
MO
Enumeration date
04/04/2007
Last updated
06/04/2009
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