Organization
PRECISION ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY COLSON C.O (C.E.O)
(702) 743-5179
Entity
Organization
Contact information
Practice address
501 S RANCHO DR STE I58, LAS VEGAS, NV 89106-4838
(702) 293-5502
Mailing address
501 S RANCHO DR STE I58, LAS VEGAS, NV 89106-4838
(702) 293-5502
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1003167500
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509314
—
NV
Enumeration date
11/30/2010
Last updated
01/06/2020
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