Organization
OPHTHALMIC PLASTIC & COSMETIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B HOLDS M.D. (OWNER)
(314) 567-3567
Entity
Organization
Contact information
Practice address
12990 MANCHESTER RD, SUITE 102, DES PERES, MO 63131-1804
(314) 567-3567
(314) 567-6575
Mailing address
12990 MANCHESTER RD, SUITE 102, DES PERES, MO 63131-1804
(314) 567-3567
(314) 567-6575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDR3N98
MO
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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