Organization
ADVANCED ORTHOTIC DESIGNS
Active
Organization
ADVANCED ORTHOTIC DESIGNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN LATHAM (CEO)
(801) 226-1110
Entity
Organization
Contact information
Practice address
105 S STATE ST, 602, OREM, UT 84058-5419
(801) 226-1110
Mailing address
105 S STATE ST, 602, OREM, UT 84058-5419
(801) 226-1110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
12269678-002-STC
UT
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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