Gallup Limb and Brace Co INC

NPI #1114002219 in Gallup, New Mexico

Provider Information

NPI Number: 1114002219
Entity Type: Organization
Organization Name: Gallup Limb and Brace Co INC
Primary Specialty: Prosthetist
Enumeration Date: Oct 26, 2006
Last Updated: Jan 25, 2024

Practice Location

Address: 927 WEST AZTEC AVENUE
City: Gallup
State: New Mexico
ZIP Code: 87301
Phone: (505) 722-5756

Authorized Official

Name: JUSTIN MARSHALL, ABC COA
Title: PRESIDENT/OWNER
Phone: (505) 722-5756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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