Organization
ALBERTS ORTHOTICS AND SHOE MODIFICATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ALBERT (OWNER)
(573) 682-5722
Entity
Organization
Contact information
Practice address
112 W RAILROAD ST STE B, CENTRALIA, MO 65240-1380
(573) 682-5722
(573) 682-5722
Mailing address
112 W RAILROAD ST STE B, CENTRALIA, MO 65240-1380
(573) 682-5722
(573) 682-1546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
03/03/2010
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