Organization
BOSSIER CITY PROSTHETIC & ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H DAVIS JR. (OWNER)
(318) 746-5000
Entity
Organization
Contact information
Practice address
4859 SHED ROAD STE 200, BOSSIER CITY, LA 71111
(318) 746-5000
(318) 746-4000
Mailing address
4859 SHED RD STE 200, BOSSIER CITY, LA 71111-5493
(318) 746-5000
(318) 746-4000
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
LA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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