Pediatric Orthotic And Prosthetic Services- West, Llc

NPI 1225430150 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1225430150
Enumeration Date 09/23/2014
Last Updated 07/23/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID R DAVID
Position DIRECTOR
Phone (801) 536-3820
Fax (801) 536-3731
Practice Location
1275 E FAIRFAX RD
SALT LAKE CITY UT, 84103-4324, US
Phone (801) 536-3820
Fax (801) 536-3731
Business Location
PO BOX 865109
ORLANDO FL, 32886-5109, US
Phone (844) 602-3960
Fax (813) 281-8461
Toxanomy
Taxonomy Code 335E00000X
License State
License Number
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According to our database, Pediatric Orthotic And Prosthetic Services- West, Llc NPI is 1225430150, taxonomy code is 335E00000X Pediatric Orthotic And Prosthetic Services- West, Llc physically located at 1275 E Fairfax Rd, Salt Lake City UT, 84103-4324. NPI Number 1033115704 has the healthcare provider type.

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1225430150 NPI number is provided on an as is basis without warranty of any kind. 1225430150 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Orthotic And Prosthetic Services- West, Llc are for informational purposes only.