Organization
TAEDS ORTOTICS & PROSTHETICS
Active
Other names
Taed Studer
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAED STUDER CPO 1053 (CPO / OWNER)
(805) 710-1947
Entity
Organization
Contact information
Practice address
145 S HALCYON RD, # B,, ARROYO GRANDE, CA 93420-3151
(805) 710-1947
(805) 473-8230
Mailing address
145 S HALCYON RD, # B,, ARROYO GRANDE, CA 93420-3151
(805) 710-1947
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346439932
NPI
CA
Enumeration date
11/17/2014
Last updated
11/17/2014
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