Organization
O AND P SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY W. PROUT CPO (PRESIDENT)
(916) 784-1612
Entity
Organization
Contact information
Practice address
1830 SIERRA GARDENS DR STE 40, ROSEVILLE, CA 95661-2942
(916) 784-1612
(916) 784-2182
Mailing address
1830 SIERRA GARDENS DR STE 40, ROSEVILLE, CA 95661-2942
(916) 784-1612
(916) 784-2182
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0013260
—
CA
01
—
ZZZ30683Z
BLUE SHIELD
CA
Enumeration date
09/22/2006
Last updated
08/22/2020
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