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Organization

PREMIER ORTHOTICS AND BRACES LLC

Active
Other names
Sham M Vengurlekar, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OWEN OWENS PHD (SR. ADMINISTRATOR)
(480) 314-2288
Entity
Organization

Contact information

Practice address
7010 E CHAUNCEY LN STE 215, PHOENIX, AZ 85054-3117
(480) 314-2288
(480) 314-1113
Mailing address
7010 E CHAUNCEY LN STE 215, PHOENIX, AZ 85054-3117
(480) 314-2288
(480) 314-1113

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/20/2019
Last updated
11/20/2019
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