Organization
ADVANCED ANATOMICAL DESIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD T WELDON LPED LO CO (CO PRESIDENT)
(330) 533-7207
Entity
Organization
Contact information
Practice address
375 WEST MAIN ST, CANFIELD, OH 44406-1433
(330) 533-7207
(330) 533-7991
Mailing address
375 WEST MAIN ST, CANFIELD, OH 44406-1433
(330) 533-7207
(330) 533-7991
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230289
ANTHEM
OH
05
—
2323391
—
OH
Enumeration date
10/12/2006
Last updated
08/22/2020
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