Organization
THE INTERNATIONAL TRADER LLC
Active
Other names
Artistic Prosthetics & DME
Organization subpart
No
Provider details
NPI number
Authorized official
JASCHON VAN PROCTOR (PRESIDENT)
(480) 463-0900
Entity
Organization
Contact information
Practice address
7147 E RANCHO VISTA DR, SUITE B-35, SCOTTSDALE, AZ 85251-1492
(480) 463-0900
Mailing address
7147 E RANCHO VISTA DR, SUITE B-35, SCOTTSDALE, AZ 85251-1492
(480) 463-0900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
05/09/2014
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