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
1225 S OAKWOOD AVE STE 7B, GENESEO, IL 61254-1990
(309) 762-3621
(309) 762-3690
Mailing address
520 VALLEY VIEW DR, MOLINE, IL 61265-6194
(309) 762-3621
(309) 762-3690
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
060006850
IL
246Z00000X
Other Specialist/Technologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/27/2006
Last updated
04/29/2024
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