| |
722 N State Highway 47 Ste B, Warrenton, MO 63383 | |
(636) 456-3413 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 722 N State Highway 47 Ste B, Warrenton, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467997155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | 722 N State Highway 47 Ste B, Warrenton, MO 63383 Ph: (636) 456-3413 |