Organization
MEDCURO MANUFACTURING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOHN PAGANO (PARTNER)
(314) 567-8595
Entity
Organization
Contact information
Practice address
11605 STUDT AVE, SUITE 110, SAINT LOUIS, MO 63141-7052
(314) 567-8595
(314) 567-8593
Mailing address
11605 STUDT AVE, SUITE 103, SAINT LOUIS, MO 63141-7052
(314) 567-8595
(314) 567-8593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6521610001
MEDICARE NSC PTAN
MO
Enumeration date
04/08/2009
Last updated
07/05/2011
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