Pediatric Orthotic and Prosthetic Services- West, LLC

NPI #1225430150 in Salt Lake City, Utah

Provider Information

NPI Number
1225430150
Entity Type
Organization
Organization Name
Pediatric Orthotic and Prosthetic Services- West, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 23, 2014
Last Updated
Jul 23, 2015

Practice Location

Address
1275 E FAIRFAX RD
State
Utah
ZIP Code
84103-4324
Phone
(801) 536-3820

Authorized Official

Name
DAVID R DRAPER, CPO
Title
DIRECTOR
Phone
(801) 536-3827

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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