Organization
PROSTHETIC AND ORTHOTIC CARE LLC
Active
Other names
P & O Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JOSEPH WEBER (CHIEF EXECUTIVE OFFICER)
(314) 775-2041
Entity
Organization
Contact information
Practice address
13 EXECUTIVE DR, SUITE 13, FAIRVIEW HEIGHTS, IL 62208-1342
(618) 212-0006
(618) 212-0010
Mailing address
1084 OLD DES PERES RD, SAINT LOUIS, MO 63131-1865
(314) 775-2041
(314) 775-2045
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625748603
—
MO
Enumeration date
11/08/2006
Last updated
11/11/2021
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