Organization
ADVANCED ORTHOTICS AND PROSTHETICS
Active
Other names
ADVANCED O & P
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK W IKERD CPO (OWNER PRACTITIONER)
(417) 627-0999
Entity
Organization
Contact information
Practice address
2530 S MAIDEN LN, JOPLIN, MO 64804-0349
(417) 627-0999
(417) 627-0938
Mailing address
2530 S MAIDEN LN, JOPLIN, MO 64804-0349
(417) 627-0999
(417) 627-0938
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625367305
—
MO
Enumeration date
06/01/2005
Last updated
05/13/2014
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