NPI:
1437297967
Provider Name:
MIDWEST BONE & JOINT CENTER, PC
Doing Business As: MIDWEST BONE & JOINT CENTER, PC MOBERLY
Classification:
Orthopaedic Surgery - 207XS0114X
Entity Type:
Organization
Specialization: Adult Reconstructive Orthopaedic Surgery
CLIA Number: 26D1037449
Address:
1517 UNION AVE
SUITE D
MOBERLY, MO
ZIP 65270
Phone:
(660) 385-1006
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MIDWEST BONE & JOINT CENTER, PC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Moberly, MO. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. MIDWEST BONE & JOINT CENTER, PC NPI is 1437297967. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Bone & Joint Center, Pc Moberly.
The provider's business location address is:
1517 UNION AVE
SUITE D
MOBERLY, MO
ZIP 65270-471
Phone: (660) 385-1006
The provider's authorized official is Donet Christopher Main .
The authorized official title is Owner and has the following contact phone number (660) 385-1006.
The CLIA number assigned to this NPI record is 26D1037449 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/5/2007 and was last updated on 9/23/2010.