Prosthetic One
NPI #1184104309 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1184104309
- Entity Type
- Organization
- Organization Name
- Prosthetic One
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 16, 2018
- Last Updated
- Aug 16, 2018
Practice Location
- Address
- 11908 KANIS RD STE G7
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72211-3773
- Phone
- (501) 916-9632
Authorized Official
- Name
- MARCUS T BAKER
- Title
- PRESIDENT
- Phone
- (682) 323-5921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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