Organization
PONGRATZ ORTHOTICS & PROSTHETICS, INC.
Active
Parent organization
PONGRATZ ORTHOTICS & PROSTHETICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONGRATZ ORTHOTICS & PROSTHETICS, INC.
Authorized official
JOSEPH PONGRATZ (PRESIDENT)
(602) 222-3032
Entity
Organization
Contact information
Practice address
4915 E BASELINE RD UNIT 101, GILBERT, AZ 85234-2965
(602) 222-3032
Mailing address
730 N 52ND ST STE 100, PHOENIX, AZ 85008-7987
(602) 222-3032
(602) 222-3506
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
08/06/2021
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