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Roberta J Peregrine
Prosthetic/Orthotic Supplier in Saint Joseph, Missouri
NPI 1750552667

Roberta J Peregrine is a Prosthetic/Orthotic Supplier based in Saint Joseph, MO. Roberta J Peregrine practices in Saint Joseph, MO. The NPI Number for Roberta J Peregrine is 1750552667 and holds a License No. (Missouri).

The current practice location address for Roberta J Peregrine is 2602 Frederick Ave, Saint Joseph, MO and can be reached out via phone at 816-387-8858 and via fax at 816-387-8858.

Location: 2602 Frederick Ave, Saint Joseph, MO, 64506-2847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750552667
Provider Name
Roberta J Peregrine
Credential
Provider Entity Type
Organization
Address
2602 Frederick Ave, Saint Joseph, MO, 64506-2847
Phone Number
816-387-8858
Fax Number
816-387-8858
Provider Enumeration Date
03/19/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
27826022 01 MO BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
2602 Frederick Ave
City
Saint Joseph
State
Missouri
Zip
64506-2840
Phone Number
816-387-8858
Fax Number
816-387-8858
person
Provider Business Mailing Address Details
Address
2602 Frederick Ave
City
Saint Joseph
State
Missouri
Zip
64506-2840
Phone Number
816-387-8858
Fax Number
816-387-8858
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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