Organization
ORTHECO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DOPPLICK (AMPUTEE SUCCESS MANAGER)
(314) 492-0080
Entity
Organization
Contact information
Practice address
4105 UNION RD, SAINT LOUIS, MO 63129-1064
(217) 419-6075
(314) 461-1713
Mailing address
4105 UNION RD, SAINT LOUIS, MO 63129-1064
(314) 492-0080
(314) 461-1713
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7763970001
—
MO
Enumeration date
07/17/2019
Last updated
04/14/2020
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