Organization
SPECTRUM ORTHOTICS & PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E CUZZORT CP (OWNER)
(541) 269-1773
Entity
Organization
Contact information
Practice address
1963 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 269-1773
(541) 269-2790
Mailing address
1963 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 269-1773
(541) 269-2790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295418
—
OR
Enumeration date
07/20/2005
Last updated
01/06/2015
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