Stephen Menzel O.D.

NPI 1063418051 - Optometrist - 152W00000X

NPI Details
NPI 1063418051
Gender Male
Enumeration Date 06/23/2005
Last Updated 11/18/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
699 GRAVOIS BLUFFS BLVD
FENTON MO, 63026-7715, US
Phone (636) 349-3005
Fax (636) 305-1021
Business Location
40 E NORTH ST
EUREKA MO, 63025-1205, US
Phone (636) 200-4393
Fax (636) 938-2650
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number T03209
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According to our database, Dr. Stephen Menzel O.D. NPI is 1063418051, taxonomy code is 152W00000X and license number is T03209, license state is located at Missouri. Stephen Menzel O.D. physically located at 699 Gravois Bluffs Blvd, Fenton MO, 63026-7715. NPI Number Stephen Menzel O.D. has the Individual type.

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1063418051 NPI number is provided on an as is basis without warranty of any kind. 1063418051 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Menzel O.D. are for informational purposes only.