Organization
IBRACE ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONET MAIN DO (MEMBER)
(660) 385-1006
Entity
Organization
Contact information
Practice address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1006
(660) 385-1028
Mailing address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1006
(660) 385-1028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
05/09/2025
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