Individual provider · Type 1 NPI
Baron K. Short
Customized Equipment (DME) · O Fallon, IL
NPI number
1811220577
Active
Practice location
729 W US Highway 50, Ste F
O Fallon, IL 62269-1972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 3949-4810 (IL) |
Customized Equipment (DME): Definition to come...
About NPI 1811220577
Baron K. Short's National Provider Identifier is 1811220577, issued on Sep 14, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in O Fallon, IL. The record was last updated on Sep 14, 2009.