Organization
VISAGE STUDIOS, LLC
Active
Other names
Visage Custom Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BEHR (ANAPLASTOLOGIST)
(314) 732-2658
Entity
Organization
Contact information
Practice address
53 E JOHNSON ST, BONNE TERRE, MO 63628-1773
(314) 732-2658
Mailing address
53 E JOHNSON ST, BONNE TERRE, MO 63628-1773
(314) 732-2658
Taxonomy
Speciality
Code
Description
License number
State
229N00000X
Anaplastologist
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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