Medsource Orthotics & Prosthetics
NPI #1104968288 in Sun City, Arizona
Provider Information
- NPI Number
- 1104968288
- Entity Type
- Organization
- Organization Name
- Medsource Orthotics & Prosthetics
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDSOURCE ORTHOTICS & PROSTHETICS
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 13, 2007
- Last Updated
- May 15, 2018
Practice Location
Authorized Official
- Name
- DAVID CHARLES
- Title
- PRESIDENT
- Phone
- (801) 255-5202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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