Organization
DESERT PROSTHETIC & ORTHOTIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY AUTRY (OWNER)
(480) 497-9929
Entity
Organization
Contact information
Practice address
4915 E. BASELINE ROAD, SUITE 109, GILBERT, AZ 85234
(480) 497-9929
(480) 497-9928
Mailing address
4915 E. BASELINE RD., SUITE 109, GILBERT, AZ 85234
(480) 497-9929
(480) 497-9928
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
02/22/2010
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