Organization
JOSEPH R. WOESTHAUS
Active
Other names
J and W Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R WOESTHAUS (OWNER)
(417) 343-1700
Entity
Organization
Contact information
Practice address
257 IRON BRIDGE RD, LONG LANE, MO 65590-4180
(417) 345-1050
(417) 345-1050
Mailing address
257 IRON BRIDGE RD, LONG LANE, MO 65590-4180
(417) 345-1050
(417) 345-1050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17215421
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625952601
—
MO
Enumeration date
02/13/2007
Last updated
07/31/2008
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