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Organization
SENIORCARE ORTHOTICS INC
Active
Organization
SENIORCARE ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON HAVEY (PRESIDENT)
(314) 497-7782
Entity
Organization
Contact information
Practice address
12166 OLD BIG BEND ROAD, SUITE 303, KIRKWOOD, MO 63122-6836
(314) 821-2600
Mailing address
12166 OLD BIG BEND ROAD, SUITE 303, KIRKWOOD, MO 63122-6836
(314) 821-2600
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
09/18/2012
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