Organization
AMPUTEE CARE CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T DAMICO C.P. (PRESIDENT/CERTIFIED PROSTHETIST)
(317) 598-9557
Entity
Organization
Contact information
Practice address
9780 LANTERN RD, SUITE 140, FISHERS, IN 46037-4092
(317) 598-9557
(317) 598-2611
Mailing address
9780 LANTERN RD, SUITE 140, FISHERS, IN 46037-4092
(317) 598-9557
(317) 598-2611
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/07/2005
Last updated
04/20/2008
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