Organization
ROADRUNNER PROSTHETICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKINLEY SPENCER BURRELL C.P. (PROSTHETIST)
(512) 922-4620
Entity
Organization
Contact information
Practice address
42212 N 41ST DR STE 105, ANTHEM, AZ 85086-3815
(623) 352-4520
Mailing address
42212 N 41ST DR STE 105, ANTHEM, AZ 85086-3815
(623) 352-4520
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
12/21/2023
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