| NPI | 1487838306 |
|---|---|
| Doing Business As | NEW BALANCE-ST. LOUIS |
| Entity Type | Organization |
| Authorized Contact | BETH ANN EILERS Manager 314-646-1574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 013370) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-01-03 |