Organization
BSOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J NIEDER CO (PRESIDENT)
(314) 842-2457
Entity
Organization
Contact information
Practice address
11229 CONCORD VILLAGE AVE, SAINT LOUIS, MO 63123-6903
(314) 842-2457
Mailing address
11229 CONCORD VILLAGE AVE, SAINT LOUIS, MO 63123-6903
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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