Organization
PONGRATZ ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PONGRATZ (PRESIDENT)
(602) 222-3032
Entity
Organization
Contact information
Practice address
5750 W THUNDERBIRD RD STE G790, GLENDALE, AZ 85306-4678
(602) 395-3354
Mailing address
730 N 52ND ST STE 100, PHOENIX, AZ 85008-7987
(602) 222-3032
(602) 222-3506
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
11/20/2023
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