Organization
PROSTHETIC ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS T BAKER (PRESIDENT)
(682) 323-5921
Entity
Organization
Contact information
Practice address
11908 KANIS RD STE G7, LITTLE ROCK, AR 72211-3773
(501) 916-9632
Mailing address
3125 MATLOCK RD STE 100, ARLINGTON, TX 76015-2905
(682) 323-5921
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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