Organization
FUNCTIONAL ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN SEXON WREGE DPM (PRESIDENT/OWNER)
(505) 200-9004
Entity
Organization
Contact information
Practice address
5111 JUAN TABO BLVD NE STE A, ALBUQUERQUE, NM 87111-2672
(505) 200-9004
(505) 271-0217
Mailing address
5111 JUAN TABO BLVD NE STE A, ALBUQUERQUE, NM 87111-2672
(505) 200-9004
(505) 271-0217
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C49914
MD
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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