Organization
PROSTHETIC ORTHOTIC & PEDORTHIC ASSOCIATES, INC.
Active
Other names
POPA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A YATES CPO (PRESIDENT)
(870) 932-6436
Entity
Organization
Contact information
Practice address
1157 MADISON AVE, MEMPHIS, TN 38104-2202
(901) 276-5960
Mailing address
PO BOX 9303, JONESBORO, AR 72403-9303
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452004
—
TN
Enumeration date
06/04/2006
Last updated
08/22/2020
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