Organization
AXIS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DRAPER COTA (OWNER)
(573) 337-0694
Entity
Organization
Contact information
Practice address
100 BOSA DR, SUITE F, SAINT ROBERT, MO 65584-4833
(573) 337-0694
Mailing address
100 BOSA DR, SUITE F, SAINT ROBERT, MO 65584-4833
(573) 337-0694
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
05/22/2020
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