The Mastectomy Center

NPI 1245363076 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1245363076
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIXIE N DIXIE
Position CO OWNER
Phone (816) 373-3447
Fax (816) 373-3447
Practice Location
4201 S NOLAND RD
SUITE I
INDEPENDENCE MO, 64055-7313, US
Phone (816) 373-3447
Fax (816) 373-3447
Business Location
4201 S NOLAND RD
SUITE I
INDEPENDENCE MO, 64055-7313, US
Phone (816) 373-3447
Fax (816) 373-3447
Toxanomy
Taxonomy Code 335E00000X
License State Missouri
License Number CFM01450
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According to our database, The Mastectomy Center NPI is 1245363076, taxonomy code is 335E00000X and license number is CFM01450, license state is located at Missouri. The Mastectomy Center physically located at 4201 S Noland Rd, Independence MO, 64055-7313. NPI Number 1033115704 has the healthcare provider type.

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1245363076 NPI number is provided on an as is basis without warranty of any kind. 1245363076 is maintained by the National Plan & Provider Enumeration System. The contents of The Mastectomy Center are for informational purposes only.