Organization
PAUL B STAUDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL STAUDER OD (OWNER)
(618) 842-6516
Entity
Organization
Contact information
Practice address
101 E DELAWARE ST STE C, FAIRFIELD, IL 62837-2171
(618) 842-6516
(618) 842-6061
Mailing address
PO BOX 506, FAIRFIELD, IL 62837-0506
(618) 842-6516
(618) 842-6061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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