NPI | 1487792917 |
---|---|
Doing Business As | MIDWEST BONE & JOINT CENTER, PC KIRKSVILLE |
Entity Type | Organization |
Authorized Contact | DONET CHRISTOPHER MAIN Owner 660-385-1006 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MO 110583) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-02-05 |
Last Update Date | 2010-09-23 |