Orthopro of Lewiston INC
NPI #1124209820 in Lewiston, Idaho
Provider Information
- NPI Number
- 1124209820
- Entity Type
- Organization
- Organization Name
- Orthopro of Lewiston INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Nov 21, 2007
- Last Updated
- Sep 27, 2016
Practice Location
Authorized Official
- Name
- MR. MARSHALL R BLACK, CPO
- Title
- OWNER
- Phone
- (208) 798-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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