Organization
ABLE II PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A PIRO (CPO)
(402) 483-8898
Entity
Organization
Contact information
Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 882-0432
(605) 882-0978
Mailing address
PO BOX 22832, LINCOLN, NE 68542-2832
(402) 483-8898
(402) 435-5504
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4999175
BCBS
SD
Enumeration date
09/25/2007
Last updated
03/30/2020
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