Organization
PREMIER ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CAPPELLO (DIRECTOR OF OPERATIONS)
(678) 761-4299
Entity
Organization
Contact information
Practice address
101 S REID ST, SUITE 307 PMB V360, SIOUX FALLS, SD 57103-7030
(678) 761-4299
Mailing address
101 S REID ST, SUITE 307 PMB V360, SIOUX FALLS, SD 57103-7030
(678) 761-4299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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