Si03, Inc.
NPI #1144505447 in Scott City, Missouri
Provider Information
- NPI Number
- 1144505447
- Entity Type
- Organization
- Organization Name
- Si03, Inc.
- Primary Specialty
- Medical Foods Supplier
- Enumeration Date
- Oct 18, 2011
- Last Updated
- Oct 18, 2011
Practice Location
- Address
- 4711 NASH ROAD
- City
- Scott City
- State
- Missouri
- ZIP Code
- 63780
- Phone
- (573) 388-2301
Authorized Official
- Name
- MR. JEFF FANGER
- Title
- GENERAL MANAGER
- Phone
- (573) 388-2301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Foods Supplier |
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