Organization
COMFORT SHOE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH ANN JAMES C.PED. (OWNER/PRESIDENT)
(314) 822-3300
Entity
Organization
Contact information
Practice address
11693 MANCHESTER RD, SAINT LOUIS, MO 63131-4613
(314) 822-3300
(314) 822-1082
Mailing address
11693 MANCHESTER RD, SAINT LOUIS, MO 63131-4613
(314) 822-3300
(314) 822-1082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023861
UHC ANCILLARY CARE MANAGE
OH
01
—
DEPT. OF LABOR/OWCP
GOVENRMENT WORK COMP.
MO
Enumeration date
10/10/2006
Last updated
08/22/2020
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