Organization
MEDICAL ONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE ANN BRAZEAL (OFFICE MANAGER)
(816) 333-6100
Entity
Organization
Contact information
Practice address
4104 NW RIVERSIDE DR, RIVERSIDE, MO 64150-9668
(816) 333-6100
Mailing address
4104 NW RIVERSIDE DR, RIVERSIDE, MO 64150-9668
(816) 333-6100
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MO
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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