Organization
DOVE MASTECTOMY SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PATRICIA DOERR (OWNER)
(314) 293-0974
Entity
Organization
Contact information
Practice address
3016 COLLINGTON CT, SAINT LOUIS, MO 63129-3960
(314) 293-0974
(314) 293-0974
Mailing address
3016 COLLINGTON CT, SAINT LOUIS, MO 63129-3960
(314) 293-0974
(314) 293-0974
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17250374
MO
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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