Innovative Prosthetic Designs LLC
NPI #1770535759 in Columbus, Mississippi
Provider Information
- NPI Number
- 1770535759
- Entity Type
- Organization
- Organization Name
- Innovative Prosthetic Designs LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 17, 2006
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 523 LINCOLN RD
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-2225
- Phone
- (662) 240-9700
Authorized Official
- Name
- JOHN VINCENT UNGARO, CP
- Title
- PRESIDENT
- Phone
- (662) 240-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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