Organization
ANAVAN LLC
Active
Other names
Comfort Shoe Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR SIMONYAN (OWNER)
(636) 675-4477
Entity
Organization
Contact information
Practice address
14390 MANCHESTER RD, SAINT LOUIS, MO 63011
(314) 822-3300
Mailing address
814 JUDSON MANOR DR, SAINT LOUIS, MO 63141-6020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/22/2017
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