Organization
COR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY JOE JAMES SA-C (MANAGER)
(314) 392-3998
Entity
Organization
Contact information
Practice address
5828 MANGO DR, SAINT LOUIS, MO 63129-2243
(314) 701-4664
Mailing address
5828 MANGO DR, SAINT LOUIS, MO 63129-2243
(314) 701-4664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
12/14/2016
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