Organization
PRECISION ORTHOTICS & PROSTHETICS, LLC
Active
Organization
PRECISION ORTHOTICS & PROSTHETICS, LLC
Active
Other names
Pop Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KRATOHVIL (VP OF FINANCE, CONTROLLER)
(615) 550-8760
Entity
Organization
Contact information
Practice address
7350 W CHEYENNE AVE STE 110, LAS VEGAS, NV 89129-7407
(702) 243-7671
(702) 259-7671
Mailing address
526 S TONOPAH DR STE 120, LAS VEGAS, NV 89106-4044
(702) 243-7671
(702) 259-7671
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250010837
—
NV
01
—
5503020003
MEDICARE
NV
Enumeration date
11/15/2018
Last updated
11/17/2021
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