Medsource Orthotics & Prosthetics, INC

NPI #1043769169 in Sun City, Arizona

Provider Information

NPI Number
1043769169
Entity Type
Organization
Organization Name
Medsource Orthotics & Prosthetics, INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 30, 2016
Last Updated
Sep 14, 2018

Practice Location

Address
13203 N 103RD AVE STE J1&J2
State
Arizona
ZIP Code
85351
Phone
(602) 395-3354

Authorized Official

Name
DAVID CHARLES
Title
PRESIDENT
Phone
(801) 890-6824

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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