Organization
PONGRATZ ORTHOTICS & PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S. PONGRATZ CPO (PRESIDENT)
(602) 222-3032
Entity
Organization
Contact information
Practice address
1968 N PEART RD, BLDG A SUITE 3, CASA GRANDE, AZ 85122
(520) 340-7050
(520) 340-4670
Mailing address
730 N 52ND ST STE 100, PHOENIX, AZ 85008-7987
(602) 222-3032
(602) 222-3506
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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