Organization
MUNGER PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR D MUNGER CPO (PRESIDENT/PRACTITIONER)
(907) 743-9991
Entity
Organization
Contact information
Practice address
1700 E BOGARD RD, #104 BUILDING B, WASILLA, AK 99654-6563
(907) 743-9991
(907) 743-9992
Mailing address
5701 LAKE OTIS PKWY STE 400, ANCHORAGE, AK 99507-1778
(907) 743-9991
(907) 743-9992
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO01700
DE
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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