Organization
MIDWEST BONE & JOINT CENTER, PC
Active
Other names
Midwest Bone & Joint Center, PC Moberly
Organization subpart
No
Provider details
NPI number
Authorized official
DONET CHRISTOPHER MAIN DO (OWNER)
(660) 385-1006
Entity
Organization
Contact information
Practice address
1517 UNION AVE, SUITE D, MOBERLY, MO 65270-9471
(660) 385-1006
Mailing address
PO BOX 795057, SAINT LOUIS, MO 63179-0795
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
110583
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/05/2007
Last updated
09/23/2010
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