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Organization

ELEVATION PROSTHETICS AND ORTHOTICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CARLSON CPO (PRESIDENT)
(916) 297-7853
Entity
Organization

Contact information

Practice address
106 N SUNRISE AVE STE C8, ROSEVILLE, CA 95661-2914
(916) 297-7853
Mailing address
106 N SUNRISE AVE STE C8, ROSEVILLE, CA 95661-2914

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902084239
NPI
Enumeration date
10/19/2018
Last updated
10/19/2018
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