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John M Fenton III, CPO
Prosthetic/Orthotic Supplier in Republic, Missouri
NPI 1376811489

John M Fenton III is a Prosthetic/Orthotic Supplier based in Republic, MO. John M Fenton III practices in Republic, MO and has the professional credentials of CPO. The NPI Number for John M Fenton III is 1376811489 and holds a License No. (Missouri).

The current practice location address for John M Fenton III is 838 Rachel St, Republic, MO and can be reached out via phone at 417-732-8483 and via fax at 417-732-8902.

Location: 838 Rachel St, Republic, MO, 65738-1721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376811489
Provider Name
John M Fenton III
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
838 Rachel St, Republic, MO, 65738-1721
Phone Number
417-732-8483
Fax Number
417-732-8902
Provider Enumeration Date
12/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
838 Rachel St
City
Republic
State
Missouri
Zip
65738-1721
Phone Number
417-732-8483
Fax Number
417-732-8902
person
Provider Business Mailing Address Details
Address
838 Rachel St
City
Republic
State
Missouri
Zip
65738-1721
Phone Number
417-732-8483
Fax Number
417-732-8902
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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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