Organization
SPECTRUM OF SANTA ROSA
Active
Other names
SPECTRUM ORTHOTICS & PROSTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOREST R SEXTON CPO (ORTHOTIST/PROSTHETIST)
(541) 734-2435
Entity
Organization
Contact information
Practice address
1041 4TH ST, SANTA ROSA, CA 95404-4329
(541) 734-2435
Mailing address
1180 CRATER LAKE AVE, MEDFORD, OR 97504-6242
(541) 734-2435
(541) 734-4366
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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