Organization
MUNGER PROSTHETICS AND ORTHOTICS, INC
Active
Other names
Trevor Dale Munger, CPO/Munger Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR DALE MUNGER CPO (PRESIDENT)
(907) 743-9991
Entity
Organization
Contact information
Practice address
5701 LAKE OTIS PKWY STE 400, ANCHORAGE, AK 99507-1778
(907) 743-9991
(907) 743-9992
Mailing address
5701 LAKE OTIS PKWY STE 400, ANCHORAGE, AK 99507-1778
(907) 743-9991
(907) 743-9992
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO 1700
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO4651
—
AK
Enumeration date
07/31/2006
Last updated
08/22/2020
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