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Organization

PROGRESSIVE ORTHOTIC & PROSTHETIC SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY M ARNETTE CPO (PRESIDENT)
(918) 663-7077
Entity
Organization

Contact information

Practice address
10 E 6TH ST., GROVE, OK 74344
(918) 786-7701
Mailing address
9511 E 46TH ST, TULSA, OK 74145-7201
(918) 663-7077

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO5
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100791610A
OK
Enumeration date
07/13/2018
Last updated
04/20/2022
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