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Organization

PROSTHETIC LABORATORIES LABORATORIES OF ROCHESTER

Active
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Organization

PROSTHETIC LABORATORIES LABORATORIES OF ROCHESTER

Active
Parent organization
GMS OF ROCHESTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GMS OF ROCHESTER INC
Authorized official
BRIAN GREEN (CEO)
(507) 281-5250
Entity
Organization

Contact information

Practice address
620 W 18TH ST, SIOUX FALLS, SD 57104-4844
(605) 332-1878
(605) 334-4045
Mailing address
620 W 18TH ST, SIOUX FALLS, SD 57104-4844
(605) 332-1878
(605) 334-4045

Taxonomy

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

Other

Enumeration date
02/12/2007
Last updated
07/03/2012
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