Individual
DALE ALLEN LUDKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORTHOTIC FITTER
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
15741 N 162ND LN, SURPRISE, AZ 85374-5875
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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