Organization
RALPH'S SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB MC ROBERTS C-PED (OWNER)
(715) 834-4568
Entity
Organization
Contact information
Practice address
336 WATER ST, EAU CLAIRE, WI 54703-6132
(715) 834-3248
(715) 831-7112
Mailing address
336 WATER ST, EAU CLAIRE, WI 54703-6132
(715) 834-3248
(715) 831-7112
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C-PED2969
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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