Mid-Mo O&p LLC

NPI #1578289328 in Rolla, Missouri

Provider Information

NPI Number
1578289328
Entity Type
Organization
Organization Name
Mid-Mo O&p LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MID-MO O&P LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Oct 13, 2022
Last Updated
Oct 13, 2022

Practice Location

Address
1811 MARTIN SPRINGS DR STE D
City
Rolla
ZIP Code
65401-2954
Phone
(573) 364-8480

Authorized Official

Name
BRIDGET RENEE DALY
Title
SENIOR VICE PRESIDENT OF OPERATIONS
Phone
(573) 289-7760

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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