Organization
MIDWEST ILLINOIS ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON HAVEY (DIRECTOR)
(314) 821-2600
Entity
Organization
Contact information
Practice address
11425 DORSETT RD, STE B, MARYLAND HEIGHTS, MO 63043-3445
(314) 739-4408
(888) 770-2935
Mailing address
12166 OLD BIG BEND RD, STE 303, KIRKWOOD, MO 63122-6844
(314) 821-2600
(888) 770-2935
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
08/06/2013
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