Organization
ALPHA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CALLIS (OWNER)
(573) 450-6753
Entity
Organization
Contact information
Practice address
338 BROADWAY ST STE 312, CAPE GIRARDEAU, MO 63701-7331
(573) 381-0820
Mailing address
338 BROADWAY ST STE 421, CAPE GIRARDEAU, MO 63701-7331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
04/05/2019
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