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M. Dwayne Yeager, Od, Faao, A Professional Organization
Prosthetic/Orthotic Supplier in West Monroe, Louisiana
NPI 1407156847

M. Dwayne Yeager, Od, Faao, A Professional Organization is a Prosthetic/Orthotic Supplier based in West Monroe, LA. M. Dwayne Yeager, Od, Faao, A Professional Organization practices in West Monroe, LA. The NPI Number for M. Dwayne Yeager, Od, Faao, A Professional Organization is 1407156847 and holds a License No. 1020-199T (Louisiana).

The current practice location address for M. Dwayne Yeager, Od, Faao, A Professional Organization is 3805 Cypress St, West Monroe, LA and can be reached out via phone at 318-325-3937 and via fax at 318-397-9717.

Location: 3805 Cypress St, West Monroe, LA, 71291-7436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407156847
Provider Name
M. Dwayne Yeager, Od, Faao, A Professional Organization
Credential
Provider Entity Type
Organization
Address
3805 Cypress St, West Monroe, LA, 71291-7436
Phone Number
318-325-3937
Fax Number
318-397-9717
Provider Enumeration Date
11/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1369004 05 LA
institution
Provider Business Practice Location Address Details
Address
3805 Cypress St
City
West Monroe
State
Louisiana
Zip
71291-7436
Phone Number
318-325-3937
Fax Number
318-397-9717
person
Provider Business Mailing Address Details
Address
3805 Cypress St
City
West Monroe
State
Louisiana
Zip
71291-7436
Phone Number
318-325-3937
Fax Number
318-397-9717
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1020-199T (Louisiana)
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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