Organization
ORTHOPEDIC OUTFITTERS OF EASTERN JACKSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA DUSENBERG (OWNER)
(816) 303-2498
Entity
Organization
Contact information
Practice address
19550 E 39TH ST S, SUITE 115, INDEPENDENCE, MO 64057-2303
(816) 303-2498
(816) 303-2495
Mailing address
19550 EAST 39TH STREET, SUITE 115, INDEPENDENCE, MO 64057
(816) 303-2498
(816) 303-2495
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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