Organization
FRESNO PROSTHETIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MICHAEL KING ABC CP003235 (OWNER)
(559) 225-2400
Entity
Organization
Contact information
Practice address
4832 N 1ST ST, STE 102, FRESNO, CA 93726-0524
(559) 225-2400
(559) 225-3529
Mailing address
4832 N 1ST ST, STE 102, FRESNO, CA 93726-0524
(559) 225-2400
(559) 225-3529
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
04/20/2008
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