Organization
LA FUENTE PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JAMES PRESTRIDGE (CERTIFIED PROSTHETIST)
(405) 474-1620
Entity
Organization
Contact information
Practice address
229 N.W. 9TH STREET, OKLAHOMA CITY, OK 73102
(405) 236-2882
(405) 236-3335
Mailing address
229 N.W. 9TH STREET, OKLAHOMA CITY, OK 73102
(405) 236-2882
(405) 236-3335
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
47
OK
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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