Organization
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC
Active
Parent organization
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC
Authorized official
DAVID JOSEPH JACOFSKY MD (CEO)
(866) 974-2673
Entity
Organization
Contact information
Practice address
3591 S MERCY RD STE 204, GILBERT, AZ 85297-2240
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/10/2020
Last updated
05/13/2021
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