Organization
SCOTT COUNTY LIMB & BRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS P SMITH CPBOCP (OWNER)
(812) 752-1014
Entity
Organization
Contact information
Practice address
1366 N GARDNER ST, SUITE 100, SCOTTSBURG, IN 47170-7793
(812) 752-1014
Mailing address
1366 N GARDNER ST, SUITE 100, SCOTTSBURG, IN 47170-7793
(812) 752-1014
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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