MR. Ronnell Anthony Upshur, CPO
NPI #1912515776 in Wilmington, Delaware
Provider Information
- NPI Number
- 1912515776
- Entity Type
- Individual
- Name
- MR. Ronnell Anthony Upshur, CPO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetist
- Credential
- CPO
- Enumeration Date
- Jul 17, 2020
- Last Updated
- Jul 17, 2020
Practice Location
- Address
- 1107 MCKENNANS CHURCH RD
- City
- Wilmington
- State
- Delaware
- ZIP Code
- 19808-2128
- Phone
- (734) 620-7595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
| Prosthetist |
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