Organization
ROBERT BUSUTTIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEONARD BUSUTTIL ABC/BOC (CERTIFIED ORTHOTIST/PROSTHETIST)
(909) 392-0812
Entity
Organization
Contact information
Practice address
319 E FOOTHILL BLVD, POMONA, CA 91767-1405
(909) 392-0812
Mailing address
319 E FOOTHILL BLVD, POMONA, CA 91767-1405
(909) 392-0812
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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