Organization
ANKLE ROLL GUARD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DEAN (OWNER)
(888) 802-6458
Entity
Organization
Contact information
Practice address
560 W ASHBY DR, MERIDIAN, ID 83646-4131
(888) 802-6458
Mailing address
560 W ASHBY DR, MERIDIAN, ID 83646-4131
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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