Organization
STUART ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID STUART CO (OWNER/PRESIDENT/CERTIFIED ORTHOTIST)
(360) 577-3505
Entity
Organization
Contact information
Practice address
1555 3RD AVE, SUITE B, LONGVIEW, WA 98632-3266
(360) 577-3505
(360) 577-3509
Mailing address
1555 3RD AVE STE B, LONGVIEW, WA 98632-3268
(360) 577-3505
(360) 577-3509
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
07/30/2012
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