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Organization

ELITE BIOMECHANICAL DESIGN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL PATRICK CASEY BOCO (CEO, CFO)
(530) 894-6913
Entity
Organization

Contact information

Practice address
5878 CLARK RD, PARADISE, CA 95969-4840
(530) 762-2987
(530) 762-4963
Mailing address
5878 CLARK RD, PARADISE, CA 95969-4840
(530) 762-2987
(530) 762-4963

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
02/09/2017
Last updated
03/21/2017
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