Fred's of Doniphan, INC

NPI #1457864266 in Doniphan, Missouri

Provider Information

NPI Number
1457864266
Entity Type
Organization
Organization Name
Fred's of Doniphan, INC
Subpart
Yes (part of a larger organization)
Parent Organization
FRED'S OF DONIPHAN, INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Nov 15, 2017
Last Updated
Jul 8, 2019

Practice Location

Address
100 H&S DRIVE
ZIP Code
63935
Phone
(573) 996-5220

Authorized Official

Name
CLAYTON JAMISON
Title
OWNER
Phone
(573) 996-3953

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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