Organization
ORTHOTIC & PROSTHETIC CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DAVID HAMM BOCO (OWNER)
(602) 561-6450
Entity
Organization
Contact information
Practice address
236 E HATCHER RD, PHOENIX, AZ 85020-2423
(602) 561-6450
(623) 321-1215
Mailing address
PO BOX 31188, PHOENIX, AZ 85046-1188
(602) 561-6450
(623) 321-1215
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C46714
AZ
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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