Organization
MIDWEST MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS RODDEN (OWNER)
(636) 946-2244
Entity
Organization
Contact information
Practice address
2621 RAYMOND DR, SAINT CHARLES, MO 63301-4872
(636) 946-2244
(636) 946-6975
Mailing address
2621 RAYMOND DR, SAINT CHARLES, MO 63301-4872
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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