Organization
ABC ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADY GARRETT STUART J.D. (C.E.O.)
(801) 628-9269
Entity
Organization
Contact information
Practice address
3399 POLK AVE, OGDEN, UT 84403-1369
(801) 628-9269
Mailing address
3399 POLK AVE, OGDEN, UT 84403-1369
(801) 628-9269
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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