Organization
DOUG TAYLOR PROSTHETICS INC
Active
Other names
O & P Composites
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN R MARSCHAND (OFFICE MANAGER)
(317) 782-9310
Entity
Organization
Contact information
Practice address
207 MAIN STREET, BEECH GROVE, IN 46107-1814
(317) 782-9310
(317) 782-9312
Mailing address
207 MAIN STREET, BEECH GROVE, IN 46107-1814
(317) 782-9310
(317) 782-9312
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP001415
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480186
ANTHEM
IN
Enumeration date
09/27/2006
Last updated
08/22/2020
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