Organization
PERFORMANCE PLUS MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NOAH PARKS (MANAGING MEMBER)
(918) 494-6690
Entity
Organization
Contact information
Practice address
2100 S BRENTWOOD BLVD STE C, SPRINGFIELD, MO 65804-2534
(417) 720-1662
Mailing address
2100 S BRENTWOOD BLVD STE C, SPRINGFIELD, MO 65804-2534
(417) 720-1662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/07/2013
Last updated
08/10/2020
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