Myrtle Hilliard Davis Comprehensive is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Saint Louis, Missouri. It is situated at 5471 Dr Martin Luther King Dr, Saint Louis and its contact number is 314-367-5820. The authorized person of Myrtle Hilliard Davis Comprehensive is Mrs. Angela Renee Clabon
who is Chief Executive Officer of the store and his/her contact number is 314-367-5820. Primary license number for Myrtle Hilliard Davis Comprehensive is 002938 in Missouri. Myrtle Hilliard Davis Comprehensive is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Myrtle Hilliard Davis Comprehensive Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
5471 Dr Martin Luther King Dr, Saint Louis, Missouri, 63112-4265
Phone:
314-367-5820
Fax:
314-454-3979
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Angela Renee Clabon
Position:
Chief Executive Officer
Contact Number:
314-367-5820
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Myrtle Hilliard Davis Comprehensive center are as mentioned below.
NPI Number:
1972653202
NPI Enumeration Date:
11 Jan, 2007
NPI Last Update On:
31 Mar, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Myrtle Hilliard Davis Comprehensive are as mentioned below.
Specialization
License Number
State
Status
002938
Missouri
Primary
Secondary
Secondary
Secondary
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
600622914
Medicaid
Missouri
2050332
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Myrtle Hilliard Davis Comprehensive 5471 Dr Martin Luther King Dr, Saint Louis, Missouri
Zip:
63112-4265
Phone Number:
314-367-5820
Fax Number:
314-367-6326
Patients can reach Myrtle Hilliard Davis Comprehensive at 5471 Dr Martin Luther King Dr, Saint Louis, Missouri or can call to book an appointment on 314-367-5820. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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