Organization
MID-MO O&P LLC
Active
Other names
Mid Missouri Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN BRIGHT CPO (OWNER)
(573) 441-0742
Entity
Organization
Contact information
Practice address
1811 MARTIN SPRINGS DR, SUITE C, ROLLA, MO 65401-2954
(573) 364-8480
(573) 364-8409
Mailing address
1101 LAKEVIEW AVE, COLUMBIA, MO 65201-4659
(573) 441-0742
(573) 441-0745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
01/28/2016
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