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Organization

RELIANT PROSTHETICS SOUTHWEST, LLC

Active
Parent organization
RELIANT PROSTHETICS SOUTHWEST, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RELIANT PROSTHETICS SOUTHWEST, LLC
Authorized official
MR. TOM L LOPOSER JR. (PARTNER)
(972) 470-0300
Entity
Organization

Contact information

Practice address
1300 COUNTRY CLUB RD, SUITE B, SANTA TERESA, NM 88008-9449
(575) 589-3200
(575) 589-3201
Mailing address
1300 COUNTRY CLUB RD, SUITE B, SANTA TERESA, NM 88008-9449
(575) 589-3200
(575) 589-3201

Taxonomy

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

Other

Enumeration date
06/17/2011
Last updated
09/08/2011
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