Organization
SCOTT ORTHOPEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PROCTOR (ADMINISTRATOR)
(304) 525-6905
Entity
Organization
Contact information
Practice address
2828 1ST AVE, SUITE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
(304) 525-6154
Mailing address
2828 1ST AVE, SUITE 400, HUNTINGTON, WV 25702-1236
(304) 525-6905
(304) 525-6154
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010681000
—
WV
05
—
352265
—
OH
Enumeration date
10/14/2015
Last updated
10/14/2015
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