Organization
ORTHOTIC PROSTHETIC DESIGN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDWARD SMITH CO, BOCO (MANAGING MEMBER)
(205) 248-2193
Entity
Organization
Contact information
Practice address
1061 MARTIN LUTHER KING JR BLVD, NORTHPORT, AL 35476-4035
(205) 248-2193
(205) 248-2195
Mailing address
1061 MARTIN LUTHER KING JR BLVD, NORTHPORT, AL 35476-4035
(205) 248-2193
(205) 248-2195
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
#51
AL
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
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