Individual
DR. JAMES GREGORY HUNTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2905
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312853807
—
MO
01
—
MA2116001
MEDICARE
MO
Enumeration date
03/17/2006
Last updated
05/13/2011
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