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MIDWEST BONE & JOINT CENTER PC

Suppliers Durable Medical Equipment & Medical Supplies

Provider NPI: 1902812407

Organization Information:
Organization Name:  MIDWEST BONE & JOINT CENTER PC
Organization is not Subpart
Authorized Official:  DONET CHRISTOPHER MAIN  OWNER  660-385-1006

Practice Location:
1706 PROSPECT DR  MACON, MO 63552-2615 US
Tel: 660-385-1006  Fax: 660-385-1028

Business Mailing Address:
1836 LACKLAND HILL PKWY  SAINT LOUIS, MO 63146-3572 US
Tel: 314-989-0300  Fax: 314-810-1399

NPI Information:
NPI: 1902812407
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
Y207XS0114XPhysicians
Orthopaedic Surgery

Other Provider Identifiers:

IssuerNumberStateType
RR MEDICARECK3308MO01



American Medical Association 2012 taxonomy code information

Code: 207XS0114X

Type:

Classification:



Definition:



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