IAN ROBERT MCINTIRE

SAINT LOUIS, MO
NPI1306694005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: MO  CPO04181)
Additional Taxonomies224P00000X Prosthetist
(Licence: MO  CPO04181)
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
Mr. IAN ROBERT MCINTIRE MSPO, CPO
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125-4181
Phone number: 314-652-4100
Mailing Address
Mr. IAN ROBERT MCINTIRE MSPO, CPO
127 MADISON AVE
WEBSTER GROVES, MO 63119-1603
Phone number: 954-651-3043
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