Organization
JOSHUA C ALLISON
Active
Other names
allisons comfort shoes & boots
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA T MILLER CPC (MANAGER)
(615) 217-9821
Entity
Organization
Contact information
Practice address
4225 S STATE ROUTE 159, STE 1, GLEN CARBON, IL 62034-3231
(618) 288-9297
(618) 288-1260
Mailing address
4225 S STATE ROUTE 159, STE 1, GLEN CARBON, IL 62034-3231
(618) 288-9297
(618) 288-1260
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
12/04/2008
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