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Organization

PERSONAL PERFORMANCE MEDICAL CORPORATION

Active
Other names
Fit-Well Prosthetic and Orthotic Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT E ALLEN CERTIFIED PROSTHETIS (OWNER)
(801) 364-3100
Entity
Organization

Contact information

Practice address
720 S RIVER RD STE B205, ST GEORGE, UT 84790-5532
(435) 634-0070
(435) 634-0070
Mailing address
7575 S 900 E, MIDVALE, UT 84047-2343
(801) 364-3100
(801) 872-5714

Taxonomy

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

Other

Enumeration date
06/11/2009
Last updated
07/05/2024
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