Organization
DR. CHARLES R. STURTEVANT, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROY STURTEVANT SR. O.D. (OWNER)
(254) 953-1164
Entity
Organization
Contact information
Practice address
2100 S W S YOUNG DR STE 1000A, KILLEEN, TX 76543-5320
(254) 953-1164
(254) 953-1192
Mailing address
2100 S W S YOUNG DR STE 1000A, KILLEEN, TX 76543-5320
(254) 953-1164
(254) 953-1192
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
02168
TX
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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