Organization
EDDIE ZEPEDA
Active
Organization
EDDIE ZEPEDA
Active
Other names
Primecare Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE ZEPEDA (CERTIFIED ORTHOTIST/PROSTHETIS)
(575) 523-2273
Entity
Organization
Contact information
Practice address
1401 S DON ROSER DR STE E2, LAS CRUCES, NM 88011-4576
(575) 523-2273
(575) 526-2068
Mailing address
1401 S DON ROSER DR, SUITE E2, LAS CRUCES, NM 88011-4567
(575) 523-2273
(575) 526-2068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09176071
—
NM
01
—
2131956
PK
—
Enumeration date
11/24/2010
Last updated
10/04/2021
Update your record
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