Organization
NEOSHO POWERSPORTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J MCBROOM (PRESIDENT)
(417) 451-0661
Entity
Organization
Contact information
Practice address
16194 HIGHWAY 59, NEOSHO, MO 64850-8667
(417) 451-0661
(417) 451-9877
Mailing address
16194 HIGHWAY 59, NEOSHO, MO 64850-8667
(417) 451-0661
(417) 451-9877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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