| NPI | 1386646537 |
|---|---|
| Other Name | ADVANCED O & P |
| Entity Type | Organization |
| Authorized Contact | FRANK W IKERD Owner Practitioner 417-627-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2014-05-13 |