Reliant Prosthetics Southwest, LLC

NPI #1235424177 in Santa Teresa, New Mexico

Provider Information

NPI Number
1235424177
Entity Type
Organization
Organization Name
Reliant Prosthetics Southwest, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
RELIANT PROSTHETICS SOUTHWEST, LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jun 17, 2011
Last Updated
Sep 8, 2011

Practice Location

Address
1300 COUNTRY CLUB RD
Address 2
SUITE B
ZIP Code
88008-9449
Phone
(575) 589-3200

Authorized Official

Name
MR. TOM L LOPOSER JR.
Title
PARTNER
Phone
(972) 470-0300

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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