Organization
ROCKY MOUNTAIN ARTIFICIAL LIMB AND BRACE INC
Active
Organization
ROCKY MOUNTAIN ARTIFICIAL LIMB AND BRACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L CHOVAN (OWNER)
(724) 518-4322
Entity
Organization
Contact information
Practice address
307 S LAKE ST, FARMINGTON, NM 87401-5619
(505) 326-0777
(505) 326-1777
Mailing address
307 S LAKE ST, FARMINGTON, NM 87401-5619
(505) 326-0777
(505) 326-1777
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376679282
NPI
NM
Enumeration date
04/30/2007
Last updated
06/16/2009
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