Organization
ORTHOPRO OF CARSON CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY D. MILLER CPO (PRESIDENT)
(775) 841-0660
Entity
Organization
Contact information
Practice address
415 W SOPHIA ST, SUITE #200, CARSON CITY, NV 89703-8804
(775) 841-0660
(775) 841-0606
Mailing address
415 W SOPHIA ST, SUITE #200, CARSON CITY, NV 89703-8804
(775) 841-0660
(775) 841-0606
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO 01406
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502019
—
NV
Enumeration date
07/13/2005
Last updated
11/24/2009
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