Organization
FOOT SUPPORT GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERHARD RILL C.PED (OWNER)
(970) 434-2727
Entity
Organization
Contact information
Practice address
3212 F RD, CLIFTON, CO 81520-7434
(970) 434-2727
Mailing address
3212 F RD, CLIFTON, CO 81520-7434
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
482
MN
Other
Enumeration date
11/16/2006
Last updated
07/24/2008
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