Individual
CARLA TERRITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 GRAHAM RD, SUITE 3011, FLORISSANT, MO 63031-8028
(314) 839-1211
Mailing address
748 STONEBLUFF CT, CHESTERFIELD, MO 63005-4868
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
1999138138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20483308
—
MO
Enumeration date
08/31/2006
Last updated
09/28/2022
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