Organization
SIERRA ORTHOPEDIC LABORATORY, INC.
Active
Parent organization
SIERRA ORTHOPEDIC LABORATORY, INC.
Other names
Sierra Orthopedic Laboratory, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIERRA ORTHOPEDIC LABORATORY, INC.
Authorized official
DAVID JOHN JEFFRIES C.O. (OWNER)
(707) 528-9808
Entity
Organization
Contact information
Practice address
157 LYNCH CREEK WAY, PETALUMA, CA 94954-2342
(707) 528-9808
(707) 528-9818
Mailing address
PO BOX 1848, NOVATO, CA 94948-1848
(707) 528-9808
(707) 528-9818
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
11/18/2021
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