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NPI 1689807299

OrganizationActive

Jeffrey L Bouse

NPI 1689807299 · Prosthetic/Orthotic Supplier · Cuba, MO

Provider details

NPI number: 1689807299
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Jeffrey Bouse, Owner

Practice location

103 S Smith St

Cuba, MO 65453-1235

Phone: (573) 885-7312

Fax: (573) 885-7312

More MO providers

Mailing address

103 S Smith St

Cuba, MO 65453-1235

Registry dates

Enumerated: 2009-08-29
Last updated: 2012-11-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jeffrey L Bouse — NPI 1689807299, Cuba, MO | NPI Central