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The Mastectomy Center
Prosthetic/Orthotic Supplier in Independence, Missouri
NPI 1245363076

The Mastectomy Center is a Prosthetic/Orthotic Supplier based in Independence, MO. The Mastectomy Center practices in Independence, MO. The NPI Number for The Mastectomy Center is 1245363076 and holds a License No. CFM01450 (Missouri).

The current practice location address for The Mastectomy Center is 4201 S Noland Rd, Independence, MO and can be reached out via phone at 816-373-3447 and via fax at 816-373-3447.

Location: 4201 S Noland Rd, Independence, MO, 64055-7313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245363076
Provider Name
The Mastectomy Center
Credential
Provider Entity Type
Organization
Address
4201 S Noland Rd, Independence, MO, 64055-7313
Phone Number
816-373-3447
Fax Number
816-373-3447
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36532017 01 BCBS
institution
Provider Business Practice Location Address Details
Address
4201 S Noland Rd
City
Independence
State
Missouri
Zip
64055-7313
Phone Number
816-373-3447
Fax Number
816-373-3447
person
Provider Business Mailing Address Details
Address
4201 S Noland Rd
City
Independence
State
Missouri
Zip
64055-7313
Phone Number
816-373-3447
Fax Number
816-373-3447
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CFM01450 (Missouri)
Definition
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.
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