Individual
ARIC JOSEPH WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6157 MID RIVERS MALL DR, SAINT PETERS, MO 63304-1105
(636) 200-4393
Mailing address
PO BOX 207158, DALLAS, TX 75320-7158
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
101150
IA
152W00000X
Optometrist
Primary
2020015173
MO
Other
Enumeration date
06/09/2020
Last updated
06/10/2021
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