Organization
ARTIFICIAL LIMB SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN PACK C.P. (PRESIDENT)
(602) 745-2080
Entity
Organization
Contact information
Practice address
2058 S DOBSON RD, SUITE 17, MESA, AZ 85202-6454
(480) 969-3999
(480) 730-2750
Mailing address
7600 N. 15TH ST., SUITE 105, PHOENIX, AZ 85020-4330
(602) 745-2080
(602) 745-2074
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/28/2006
Last updated
07/29/2020
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