Organization
ALPHA-OMEGA ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD ALBERT VAHL CPO (PRESIDENT)
(417) 886-8881
Entity
Organization
Contact information
Practice address
308 N KENTUCKY ST STE 4, WEST PLAINS, MO 65775-2081
(417) 257-7411
(417) 881-8223
Mailing address
2021 S WAVERLY AVE STE 300, SPRINGFIELD, MO 65804-2417
(417) 886-8881
(417) 881-8223
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
BUS-0027960
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31440
BLUECROSS BLUESHIELD
MO
Enumeration date
09/20/2006
Last updated
08/22/2020
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