Organization
COMPLETE PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANENE MAUGHAN (CLINIC ADMIN)
(208) 609-6526
Entity
Organization
Contact information
Practice address
9632 W EMERALD ST STE A, BOISE, ID 83704-9762
(208) 609-6526
Mailing address
9632 W EMERALD ST STE A, BOISE, ID 83704-9762
(208) 609-6526
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
09/25/2023
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