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Organization
ORA ORTHOPEDICS, PC
Active
Organization
ORA ORTHOPEDICS, PC
Active
Parent organization
ORA ORTHOPEDICS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORA ORTHOPEDICS, PC
Authorized official
KENNETH BROCKMAN (CEO)
(563) 322-0971
Entity
Organization
Contact information
Practice address
510 VALLEY VIEW DRIVE, MOLINE, IL 61265
(309) 762-3621
Mailing address
2300 53RD AVE STE 100, BETTENDORF, IA 52722-7565
(563) 322-0971
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/25/2019
Last updated
04/29/2024
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