Organization
ALPHA-OMEGA ORTHOTICS & PROSTHETICS, INC.
Active
Parent organization
ALPHA-OMEGA ORTHOTICS & PROSTHETICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA-OMEGA ORTHOTICS & PROSTHETICS, INC.
Authorized official
MR. RONALD VAHL CPO (PRESIDENT)
(417) 886-8881
Entity
Organization
Contact information
Practice address
785 E DRAKE ST, BOLIVAR, MO 65613-2739
(417) 886-8881
(417) 881-8223
Mailing address
2021 S WAVERLY AVE, SUITE 300, SPRINGFIELD, MO 65804-2414
(417) 886-8881
(417) 881-8223
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
BUS-0027960
MO
Other
Enumeration date
12/23/2013
Last updated
07/23/2014
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