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Organization
BRUCE COOK PROSTHETICS
Active
Organization
BRUCE COOK PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WRAY BRUCE COOK B.C.O. (OWNER/OCULARIST)
(314) 567-7585
Entity
Organization
Contact information
Practice address
2821 N BALLAS RD, SUITE 215, SAINT LOUIS, MO 63131-2321
(314) 567-7585
Mailing address
2821 N BALLAS RD, SUITE 215, SAINT LOUIS, MO 63131-2321
(314) 567-7585
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
156FX1700X
MO
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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