St Cloud Eye Clinic PA

NPI #1538157805 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1538157805
Entity Type: Organization
Organization Name: St Cloud Eye Clinic PA
Primary Specialty: Ophthalmology
Enumeration Date: Oct 11, 2005
Last Updated: Jan 28, 2013

Practice Location

Address: 2055 15TH ST N
City: Saint Cloud
State: Minnesota
ZIP Code: 56303-1747
Phone: (320) 251-1432

Authorized Official

Name: MR. DEFOREST EVERTON STARKEY III
Title: OFFICE MANAGER
Phone: (320) 251-1432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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