Organization
AGILE ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN DAVIS (AUTHORIZED OFFICIAL)
(628) 305-5138
Entity
Organization
Contact information
Practice address
166 GEARY ST STE SUITE639, SAN FRANCISCO, CA 94108-5631
(628) 305-5138
Mailing address
166 GEARY ST STE SUITE639, SAN FRANCISCO, CA 94108-5631
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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