Randy Rosenquist, CPO

NPI #1174814404 in Missoula, Montana

Provider Information

NPI Number: 1174814404
Entity Type: Individual
Name: Randy Rosenquist, CPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Apr 20, 2011
Last Updated: Jan 10, 2012

Practice Location

Address: 2145 SOUTH AVE W
City: Missoula
State: Montana
ZIP Code: 59801-6503
Phone: (406) 327-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary
Orthotic Fitter	225000000X

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