Peninsula Prosthetics, Inc.
NPI #1043096811 in Brisbane, California
Provider Information
- NPI Number
- 1043096811
- Entity Type
- Organization
- Organization Name
- Peninsula Prosthetics, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 6, 2023
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 165 VALLEY DR
- City
- Brisbane
- State
- California
- ZIP Code
- 94005-1340
- Phone
- (916) 412-7813
Authorized Official
- Name
- MR. JONATHAN MICHAEL SMITH, CPO
- Title
- PRESIDENT
- Phone
- (916) 412-7813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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