Organization
MIDWEST BONE & JOINT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONET CHRISTOPHER MAIN DO (OWNER)
(660) 385-1006
Entity
Organization
Contact information
Practice address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1006
(660) 385-1028
Mailing address
PO BOX 402, MACON, MO 63552-0402
(660) 385-1008
(660) 385-1062
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3308
RR MEDICARE
MO
Enumeration date
08/01/2006
Last updated
12/01/2022
Update your record
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