Individual
DR. IRA NATHAN ETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1701 AROY DR., WASHINGTON, MO 63090
(636) 390-3285
Mailing address
1229 WISSMANN DR, BALLWIN, MO 63011-4362
(636) 227-3067
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
T02543
MO
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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