Individual
DR. SCOTT DALE STAATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2707 MILLER ST, BETHANY, MO 64424-2704
(660) 425-8116
(660) 425-3418
Mailing address
2707 MILLER ST, BETHANY, MO 64424-2704
(660) 425-8116
(660) 425-3418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3394
MO
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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