Organization
COLUMBIA O & P LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ABBOTT CP (OWNER)
(573) 635-0006
Entity
Organization
Contact information
Practice address
1735 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2435
(573) 635-0006
Mailing address
1735 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2435
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11807
HEALTHCARE USA
—
01
—
122475
BCBS
—
01
—
433956
HEALTHLINK
—
Enumeration date
11/14/2007
Last updated
04/20/2008
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