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Organization

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC

Active
Parent organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
Authorized official
DAVID R DRAPER CPO (DIRECTOR)
(801) 536-3827
Entity
Organization

Contact information

Practice address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3820
(801) 536-3731
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(813) 367-2876
(813) 518-7659

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
UT

Other

Enumeration date
09/23/2014
Last updated
03/03/2026
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