The Koetting Associates Inc.

NPI #1962868463 in Ellisville, Missouri

Provider Information

NPI Number: 1962868463
Entity Type: Organization
Organization Name: The Koetting Associates Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: THE KOETTING ASSOCIATES INC.
Primary Specialty: Optometrist
Enumeration Date: Jan 13, 2016
Last Updated: Jan 13, 2016

Practice Location

Address: 113 OLD STATE RD
Address 2: SUITE101
City: Ellisville
State: Missouri
ZIP Code: 63021-2042
Phone: (636) 256-7800

Authorized Official

Name: DR. CARMEN F CASTELLANO, OD
Title: PRESIDENT/OWNER
Phone: (314) 863-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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