NPI 1245363076

The Mastectomy Center

Organisation Prosthetic/Orthotic Supplier Independence, MO

Practice location

Address: 4201 S Noland Rd Suite I, Independence, MO 64055-7313
Phone: (816) 373-3447
Fax: (816) 373-3447

Authorised official

Name: Dixie N Stretz
Title: Co Owner
Phone: (816) 373-3447

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CFM01450 (MO)

Other Prosthetic/Orthotic Supplier providers in Missouri →

Registry record

NPI: 1245363076
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.