Organization
O & P CUSTOM, LLC
Active
Other names
Davis Limb & Brace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN R DAVIS CP 002814 (CP AND MANAGING MEMBER)
(702) 270-3200
Entity
Organization
Contact information
Practice address
939 S DECATUR BLVD, LAS VEGAS, NV 89107-3918
(702) 270-3200
(702) 870-3203
Mailing address
939 S DECATUR BLVD, LAS VEGAS, NV 89107-3918
(702) 270-3200
(702) 870-3203
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
01/11/2010
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