Organization
CARDINAL PROSTHETICS & ORTHOTICS LLC
Active
Organization
CARDINAL PROSTHETICS & ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHURCHILL I CPO (OWNER)
(540) 722-9714
Entity
Organization
Contact information
Practice address
2654 VALLEY AVE, SUITE D, WINCHESTER, VA 22601-2661
(540) 722-9714
(540) 722-9719
Mailing address
2654 VALLEY AVE, SUITE D, WINCHESTER, VA 22601-2661
(540) 722-9714
(540) 722-9719
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010386128
—
VA
05
—
012346300
—
MD
05
—
3810008640
—
WV
Enumeration date
07/16/2006
Last updated
08/26/2011
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