Organization
DESERT PROSTHETICS & ORTHOTICS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL COLLINS CPO (OWNER)
(760) 770-4620
Entity
Organization
Contact information
Practice address
57402 TWENTYNINE PALMS HWY, 8, YUCCA VALLEY, CA 92284
(760) 770-4620
(760) 770-4622
Mailing address
68860 PEREZ ROAD STE G, CATHEDRAL CITY, CA 92234
(760) 770-4620
(760) 770-4622
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000090
—
CA
Enumeration date
10/10/2011
Last updated
10/10/2011
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