Organization
SPECTRUM O & P OF SANTA ROSA
Active
Parent organization
ORTHO DEV AMERICA CORP
Other names
Spectrum Orthotics & Prosthetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHO DEV AMERICA CORP
Authorized official
MR. FOREST R SEXTON CPO (DIRECTOR)
(541) 734-2435
Entity
Organization
Contact information
Practice address
95 MONTGOMERY DR STE 102, SANTA ROSA, CA 95404-6617
(707) 528-8858
(707) 528-8840
Mailing address
3540 E BARNETT STE A, MEDFORD, OR 97504
(541) 734-2435
(541) 734-4366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
11/15/2022
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