Organization
MUNGER PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR D MUNGER (PRESIDENT/OWNER)
(907) 743-9991
Entity
Organization
Contact information
Practice address
3455 REWAK DR STE 101, FAIRBANKS, AK 99709-5024
(907) 743-9991
(907) 743-9992
Mailing address
5701 LAKE OTIS PKWY STE 400, ANCHORAGE, AK 99507-1778
(907) 743-9991
(907) 743-9992
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO01700
DE
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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