Prosthetic & Orthotic Group - Southern Colorado, LLC

NPI #1053859009 in Pueblo, Colorado

Provider Information

NPI Number
1053859009
Entity Type
Organization
Organization Name
Prosthetic & Orthotic Group - Southern Colorado, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
HANGER INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 9, 2017
Last Updated
Apr 4, 2025

Practice Location

Address
1310 FORTINO BLVD STE B
City
Pueblo
ZIP Code
81008-2076
Phone
(719) 542-1313

Authorized Official

Name
GRACE ANGELINE
Title
REG COMP ANALYST II
Phone
(714) 961-2102

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Prosthetic/Orthotic Supplier

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