Prosthetic Design INC
NPI #1689672750 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1689672750
- Entity Type
- Organization
- Organization Name
- Prosthetic Design INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Sep 11, 2024
Practice Location
- Address
- 2665 SCOTT AVE STE E
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63103-3023
- Phone
- (314) 535-5359
Authorized Official
- Name
- MARK WILSON
- Title
- OWNER/PRESIDENT
- Phone
- (314) 535-5359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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