Prosthetic Center of Excellence, a Nevada Corporation

NPI #1457348823 in Las Vegas, Nevada

Provider Information

NPI Number
1457348823
Entity Type
Organization
Organization Name
Prosthetic Center of Excellence, a Nevada Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
HANGER INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Sep 30, 2005
Last Updated
Nov 14, 2023

Practice Location

Address
2047 W CHARLESTON BLVD STE 100
State
Nevada
ZIP Code
89102-2251
Phone
(702) 384-1410

Authorized Official

Name
GRACE ANGELINE
Title
PROVIDER CONTRACT ANALYST III
Phone
(714) 961-2102

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Prosthetic/Orthotic Supplier

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