NPI Profile for CHARLES T STATON SR in SAINT LOUIS, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1396927166 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/03/2007 | |
| Last updated | 12/03/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CHARLES T STATON SR
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