Organization
O&P RESEARCH LAB, INC.
Active
Other names
Fikes Brace & Limb
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE S. FIKES RN (TREASURER)
(480) 981-7393
Entity
Organization
Contact information
Practice address
6343 E MAIN ST STE B1, MESA, AZ 85205-8972
(480) 981-7393
(480) 981-5807
Mailing address
6343 E MAIN ST STE B1, MESA, AZ 85205-8972
(480) 981-7393
(480) 981-5807
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-07-1191
SCF OF AZ
AZ
01
—
062090
INDUSTRIAL COMMISSION
AZ
01
—
189707800
US DEPT OF LABOR
AZ
01
—
1Z6986
HEALTH NET
AZ
05
—
348765
—
AZ
01
—
52601
ANTHEM BCBS
AZ
01
—
80702
NORTHWOOD NPN
AZ
01
—
8487650
CMDP
AZ
01
—
AZ0277570
BLUE CROSS BLUE SHIELD AZ
AZ
01
—
F04300
PHOENIX HEALTH PLAN
AZ
Enumeration date
11/03/2006
Last updated
01/19/2022
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