Organization
NEW MEXICO PROSTHETIC-ORTHOTIC CENTER, INC
Active
Organization
NEW MEXICO PROSTHETIC-ORTHOTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM DUTCHOVER CPO (OWNER-PRESIDENT)
(505) 623-0344
Entity
Organization
Contact information
Practice address
2515 N KENTUCKY AVE, ROSWELL, NM 88201-5807
(505) 623-0344
Mailing address
2515 N KENTUCKY AVE, ROSWELL, NM 88201-5807
(505) 623-0344
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/15/2005
Last updated
08/22/2020
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