Advanced Custom Orthotics, Inc.
NPI #1053555417 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1053555417
- Entity Type
- Organization
- Organization Name
- Advanced Custom Orthotics, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Apr 28, 2009
- Last Updated
- Nov 23, 2010
Practice Location
- Address
- 17600 CHESTERFIELD AIRPORT RD
- Address 2
- STE B5
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63005-1246
- Phone
- (636) 536-2514
Authorized Official
- Name
- DR. DONALD B HAVEY
- Title
- PRESIDENT
- Phone
- (636) 536-2514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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