Organization
IDAHO PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE WRIGHT (OFFICE MANAGER)
(208) 478-8800
Entity
Organization
Contact information
Practice address
2595 CHANNING WAY, IDAHO FALLS, ID 83404-7516
(208) 523-9000
(208) 523-9039
Mailing address
2595 CHANNING WAY, IDAHO FALLS, ID 83404-7516
(208) 523-9000
(208) 523-9039
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
ID
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805166101
—
ID
Enumeration date
03/12/2007
Last updated
03/03/2020
Update your record
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