Organization
RIO GRANDE ORTHOTICS AND PROSTHETICS
Active
Organization
RIO GRANDE ORTHOTICS AND PROSTHETICS
Active
Other names
ADVANCED PROSTHETICS AND ORTHOTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOREST SEXTON (MEMBER)
(541) 531-0439
Entity
Organization
Contact information
Practice address
1691 GALISTEO ST, SUITE B, SANTA FE, NM 87505-4780
(505) 820-2390
(505) 820-2392
Mailing address
1691 GALISTEO ST, SUITE B, SANTA FE, NM 87505-4780
(505) 820-2390
(505) 820-2392
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
47951
NM
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84927054
—
NM
Enumeration date
11/01/2006
Last updated
10/03/2024
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