Organization
MAUGHAN PROSTHETIC & ORTHOTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN MICHAEL MAUGHAN I CPO (PRESIDENT/CPO)
(253) 820-3689
Entity
Organization
Contact information
Practice address
10689 OLD FRONTIER RD NW STE 201, SILVERDALE, WA 98383-9040
(360) 698-2229
(360) 698-0122
Mailing address
PO BOX 1546, GRAHAM, WA 98338-1546
(360) 447-0770
(253) 904-8705
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PS00000183
WA
Other
Enumeration date
08/06/2009
Last updated
09/19/2024
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