MR. Charles T Staton SR.
NPI #1396927166 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1396927166
- Entity Type
- Individual
- Name
- MR. Charles T Staton SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 3, 2007
- Last Updated
- Dec 3, 2007
Practice Location
- Address
- 1408 N KINGSHIGHWAY BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63113-1400
- Phone
- (314) 361-8283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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