Organization
PONGRATZ ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE INMAN (PRACTICE MANAGER)
(602) 222-3032
Entity
Organization
Contact information
Practice address
5880 N. LA CHOLLA BLVD SUITE 150, TUCSON, AZ 85741
(520) 322-4499
(520) 322-4491
Mailing address
730 N 52ND STREET SUITE 100, PHOENIX, AZ 85008
(602) 222-3032
(602) 222-3506
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
09/24/2024
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