Organization
DREAM TEAM PROSTHETIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD ERIC SIMPSON BOCP, LP (OWNER/ CLINICAL DIRECTOR)
(580) 255-2100
Entity
Organization
Contact information
Practice address
7111 NIX DR, DUNCAN, OK 73533-4191
(580) 255-2100
(580) 255-2102
Mailing address
7111 NIX DR, DUNCAN, OK 73533-4191
(580) 255-2100
(580) 255-2102
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LP13
OK
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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