Organization
ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M. CAPUTO (CHIEF ADMINISTRATIVE OFFICER)
(620) 783-4441
Entity
Organization
Contact information
Practice address
444 FOUR STATES DR, SUITE 1, GALENA, KS 66739-4324
(620) 783-4441
(620) 783-4185
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
KS
207X00000X
Orthopaedic Surgery Physician
—
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
KS
335E00000X
Prosthetic/Orthotic Supplier
—
KS
Other
Enumeration date
11/15/2006
Last updated
07/14/2014
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