Organization
VITALSURGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICK WEBER (CEO PRESIDENT)
(417) 206-0105
Entity
Organization
Contact information
Practice address
702 W 42ND ST, JOPLIN, MO 64804-4564
(417) 206-0105
Mailing address
702 W 42ND ST, JOPLIN, MO 64804-4564
(417) 206-0105
(417) 206-0109
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
About Stedi
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