| NPI | 1174527162 |
|---|---|
| Other Name | ADVANCED O & P |
| Entity Type | Organization |
| Authorized Contact | FRANK W IKERD Owner/Practitioner 417-239-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |