Organization
PEC CHESTERFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK MASSIE OD (OWNER)
(618) 234-3053
Entity
Organization
Contact information
Practice address
317 CLARKSON RD STE 102, ELLISVILLE, MO 63011-2271
(636) 725-2020
Mailing address
4111 N ILLINOIS ST, SWANSEA, IL 62226-7609
(618) 234-3053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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