Organization
NEW BALANCE LAKE ST. LOUIS
Active
Parent organization
BROWN'S ENTERPRISES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROWN'S ENTERPRISES
Authorized official
MR. CHAD LOUIS BROWN C.PED (CERTIFIED PEDORTHIST)
(636) 561-2204
Entity
Organization
Contact information
Practice address
21 MEADOWS CIRCLE DR, SUITE 314, LAKE ST LOUIS, MO 63367-4109
(636) 561-2204
(636) 625-2611
Mailing address
21 MEADOWS CIRCLE DR, SUITE 314, LAKE ST LOUIS, MO 63367-4109
(636) 561-2204
(636) 625-2611
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
013370
MO
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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