Hagopian Shoes, LLC
NPI #1760418099 in Wood River, Illinois
Provider Information
- NPI Number
- 1760418099
- Entity Type
- Organization
- Organization Name
- Hagopian Shoes, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 26, 2006
- Last Updated
- Jun 22, 2018
Practice Location
- Address
- 48 E FERGUSON AVE
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095
- Phone
- (618) 254-0276
Authorized Official
- Name
- MR. ANDREW HAGOPIAN, L.PED
- Title
- OWNER
- Phone
- (618) 254-0276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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