Individual
OSCAR A CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 S GRAND BLVD, SAINT LOUIS, MO 63104-1540
(314) 256-3232
(314) 771-0596
Mailing address
3691 RUTGER ST, PROVIDER ENROLLMENT, SAINT LOUIS, MO 63110-2515
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
100766
MO
Other
Enumeration date
07/20/2006
Last updated
03/18/2008
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