Organization
ALLIED FAMILY PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON C. HARLAN BS, CP (MANAGER)
(303) 776-6700
Entity
Organization
Contact information
Practice address
1104 MAIN ST, LONGMONT, CO 80501-3823
(303) 776-6700
(303) 776-6708
Mailing address
1104 MAIN ST, LONGMONT, CO 80501-3823
(303) 776-6700
(303) 776-6708
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32653077
—
CO
Enumeration date
02/01/2007
Last updated
11/19/2007
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