Organization
PROSTHETIC SOLUTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE THOMAS SKARDOUTOS CP (PRESIDENT)
(831) 637-0491
Entity
Organization
Contact information
Practice address
191 SAN FELIPE RD STE M1, HOLLISTER, CA 95023-3036
(831) 637-0491
(831) 637-1977
Mailing address
191 SAN FELIPE RD STE M1, HOLLISTER, CA 95023-3036
(831) 637-0491
(831) 637-1977
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP003200
MI
Other
Enumeration date
10/21/2008
Last updated
06/15/2015
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