Organization
MID AMERICA PROSTHETIC CENTER, LLC.
Active
Other names
MID AMERICA PROSTHETIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R KUHN BOCPO (OWNER)
(573) 355-7546
Entity
Organization
Contact information
Practice address
1001 SOUTHWEST BLVD, SUITE E, JEFFERSON CITY, MO 65109-2501
(573) 616-1930
(573) 616-1932
Mailing address
1001 SOUTHWEST BLVD, SUITE E, JEFFERSON CITY, MO 65109-2501
(573) 616-1930
(573) 616-1932
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
06/24/2013
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