Individual
DR. BARRY DAVID MILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
522 N NEW BALLAS RD, SUITE 136, SAINT LOUIS, MO 63141-6857
(314) 432-7010
(314) 872-7141
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
R7573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500005400
—
MO
Enumeration date
10/19/2006
Last updated
06/15/2011
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