Southlake Orthopaedics DBA Southlake Prosthetics & Orthotics

NPI #1508447343 in Hoover, Alabama

Provider Information

NPI Number: 1508447343
Entity Type: Organization
Organization Name: Southlake Orthopaedics DBA Southlake Prosthetics & Orthotics
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC
Primary Specialty: Prosthetist
Enumeration Date: Apr 14, 2021
Last Updated: Feb 10, 2022

Practice Location

Address: 4524 SOUTHLAKE PKWY STE 26
City: Hoover
State: Alabama
ZIP Code: 35244-3272
Phone: (205) 985-4111

Authorized Official

Name: MR. ROBERT CRABTREE
Title: ADMINISTRATOR
Phone: (205) 985-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Prosthetist	224P00000X	Primary

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