BI-STATE ORTHOTICS & PROSTHETICS

BELLEVILLE, IL
NPI1154462950
Entity TypeOrganization
Authorized ContactMICHAEL J NIEDER
Vice President
314-843-2664
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2007-02-12
Last Update Date2008-06-26
Business Address
BI-STATE ORTHOTICS & PROSTHETICS
6400 W MAIN ST SUITE 3G
BELLEVILLE, IL 62223-3806
Phone number: 314-843-2664
Mailing Address
BI-STATE ORTHOTICS & PROSTHETICS
12660 LAMPLIGHTER SQR SHPPNG CTR SUITE J
SAINT LOUIS, MO 63128-2761
Phone number: 314-843-2664
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