Organization
J.L. ARTIFICIAL LIMB & BRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ALEXANDER LEAL CPO (OWNER)
(928) 299-3130
Entity
Organization
Contact information
Practice address
1730 HIGHWAY 95 STE 10, BULLHEAD CITY, AZ 86442-6909
(928) 299-3130
(928) 299-3131
Mailing address
1730 HIGHWAY 95 STE 10, BULLHEAD CITY, AZ 86442-6909
(928) 234-7114
(928) 299-3131
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/06/2021
Last updated
06/22/2023
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