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Organization

VALLEY ORTHOTICS AND PROSTHETICS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY AUTRY (OWNER)
(480) 236-9759
Entity
Organization

Contact information

Practice address
4915 E BASELINE RD, SUITE 109, GILBERT, AZ 85234-2965
(480) 497-9929
Mailing address
4915 E BASELINE RD, SUITE 109, GILBERT, AZ 85234-2965
(480) 497-9929
(480) 497-9928

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO004432
AZ

Other

Enumeration date
10/29/2007
Last updated
11/09/2011
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