Organization
ADVANCED ARM DYNAMICS OF THE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MIGUELEZ CP, FAAOP, (OWNER)
(310) 372-3050
Entity
Organization
Contact information
Practice address
527 PARK LN, SUITE 500, WATERLOO, IA 50702-5236
(319) 234-0196
(319) 236-4425
Mailing address
527 PARK LN, SUITE 500, WATERLOO, IA 50702-5236
(319) 234-0196
(319) 236-4425
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
107035980
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001751
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS PROSTHETICS & PEDORTHICS (ABC)
CA
01
—
CP002760
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS PROSTHETICS PEDORTHICS (ABC)
—
Enumeration date
01/08/2009
Last updated
10/23/2012
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