| NPI | 1427443639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED BIETSCH Vice President 573-424-4652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 332B0000X) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MO 332BX200X) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2016-04-28 |