Organization
FENNER, INC
Active
Other names
DBA: SPECIALTY PROSTHETICS & ORTHOTICS TECHNOLOGIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL O FENNER CPO (PRESIDENT)
(918) 832-7768
Entity
Organization
Contact information
Practice address
2019 W BROADWAY ST, MUSKOGEE, OK 74401-2759
(918) 537-2001
(918) 537-2139
Mailing address
2019 W BROADWAY ST, MUSKOGEE, OK 74401-2759
(918) 537-2001
(918) 537-2139
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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