Mtn City Prosthtics & Orthotics
NPI #1225150493 in Hazleton, Pennsylvania
Provider Information
- NPI Number
- 1225150493
- Entity Type
- Organization
- Organization Name
- Mtn City Prosthtics & Orthotics
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Dec 11, 2007
Practice Location
- Address
- 1053 N CHURCH ST
- City
- Hazleton
- State
- Pennsylvania
- ZIP Code
- 18202-1447
- Phone
- (570) 455-7486
Authorized Official
- Name
- MR. RUSSELL E STEADELE I, CPO
- Title
- PRESIDENT
- Phone
- (570) 455-7486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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