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Organization

B & H ORTHOPEDIC LAB INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY K. HAMMER C.O. (PRESIDENT)
(314) 647-1617
Entity
Organization

Contact information

Practice address
2510 HAMPTON AVE, SAINT LOUIS, MO 63139-2911
(314) 647-1617
(314) 647-4112
Mailing address
2510 HAMPTON AVE, SAINT LOUIS, MO 63139-2911
(314) 647-1617
(314) 647-4112

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105427
ANTHEM
MO
05
620074609
MO
Enumeration date
09/25/2006
Last updated
05/20/2013
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