Individual
DR. STEPHEN MATTHEW GARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
500 JUNGERMANN RD, SUITE 202, SAINT PETERS, MO 63376-2774
(636) 928-7888
Mailing address
500 JUNGERMANN RD, SUITE 202, SAINT PETERS, MO 63376-2774
(636) 928-7888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2437
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410030506
MEDICARE RR
MO
Enumeration date
11/20/2006
Last updated
05/13/2010
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