Organization · Type 2 NPI
New Balance St.louis
Customized Equipment (DME) · St. Louis, MO
NPI number
1285872614
Active
Practice location
11633 Olive Blvd
St. Louis, MO 63141-7001
Fax (314) 872-2926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | B00029005 (MO) |
| Customized Equipment (DME) Primary | 332BC3200X | B00029005 (MO) |
Customized Equipment (DME): Definition to come...
Another provider at this address
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About NPI 1285872614
New Balance St.louis's National Provider Identifier is 1285872614, issued on Jan 22, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in St. Louis, MO. The record was last updated on May 19, 2010.