Organization
PROSTHETIC & ORTHOTIC GROUP - SOUTHERN COLORADO, LLC
Active
Parent organization
HANGER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (REG COMP ANALYST II)
(714) 961-2102
Entity
Organization
Contact information
Practice address
1310 FORTINO BLVD STE B, PUEBLO, CO 81008-2076
(719) 542-1313
(719) 542-9140
Mailing address
PO BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
04/04/2025
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