Organization
JIM VERHOFF AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM VERHOFF CP (OWNER)
(573) 364-8480
Entity
Organization
Contact information
Practice address
1811 MARTIN SPRINGS DR, SUITE C, ROLLA, MO 65401-2954
(573) 364-8480
(573) 364-8409
Mailing address
1811 MARTIN SPRINGS DR, SUITE C, ROLLA, MO 65401-2954
(573) 364-8480
(573) 364-8409
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623147006
—
MO
Enumeration date
06/22/2005
Last updated
05/03/2012
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