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Organization

DIANE G. WILSON, OD & ASSOCIATES, PC

Active
Other names
Arnold EyeCare Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY E SCAGLIONE (OFFICE MANAGER)
(636) 296-8612
Entity
Organization

Contact information

Practice address
1235 WATER TOWER PL, ARNOLD, MO 63010-2142
(636) 296-8612
(636) 296-8055
Mailing address
1235 WATER TOWER PL, ARNOLD, MO 63010-2142
(636) 296-8612
(636) 296-8055

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2765
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410035835
RAILROAD MEDICARE
MO
Enumeration date
02/26/2007
Last updated
12/11/2013
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