Individual
MR. ERICH DAVID SARTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCO
Contact information
Practice address
2601 MAGUIRE BLVD, COLUMBIA, MO 65201-8253
(573) 234-2005
Mailing address
5102 WHITEFISH DR, COLUMBIA, MO 65203-6490
(573) 673-6859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C50250
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C50250
BOARD OF CERTIFICATION AND ACCREDITATION FOR ORTHOTIC AND PROSTHETICS
—
Enumeration date
03/10/2015
Last updated
03/10/2015
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