Organization
ELITE BIOMECHANICAL DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATRICK CASEY BOCO (CEO, CFO)
(530) 894-6913
Entity
Organization
Contact information
Practice address
9 GOVERNORS LN, CHICO, CA 95926-1991
(530) 894-6913
(530) 894-6915
Mailing address
9 GOVERNORS LN, CHICO, CA 95926-1991
(530) 894-6913
(530) 894-6915
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6296139
—
CA
Enumeration date
12/28/2009
Last updated
06/04/2014
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