Organization
ROSWELL C PUTMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSWELL C PUTMAN (OWNER)
(928) 345-1907
Entity
Organization
Contact information
Practice address
11274 S FORTUNA RD STE C3, YUMA, AZ 85367-7861
(928) 345-1907
(928) 345-1907
Mailing address
11274 S FORTUNA RD STE C3, YUMA, AZ 85367-7861
(928) 345-1907
(928) 345-1907
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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