Organization
LANDMARK BRACING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MAGUS (TREASURER)
(307) 358-9464
Entity
Organization
Contact information
Practice address
620 4J CT UNIT C, GILLETTE, WY 82716-4130
(307) 686-2569
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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