Organization
LISTON PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WILLIAM LISTON CP (CERTIFIED PROSTHETIST)
(385) 425-3960
Entity
Organization
Contact information
Practice address
5292 S COLLEGE DR STE 103, MURRAY, UT 84123-2959
(385) 425-3960
(385) 425-3965
Mailing address
5292 S COLLEGE DR STE 103, MURRAY, UT 84123-2959
(385) 425-3960
(385) 425-3965
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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