NPI 1033360409

Davidson Prosthetics LLC

Organisation Prosthetic/Orthotic Supplier Puyallup, WA

Practice location

Address: 11919 Canyon Rd E, Puyallup, WA 98373-4456
Phone: (253) 770-6578
Fax: (253) 881-1397

Authorised official

Name: Greg E Davidson
Title: Owner
Phone: (253) 651-8250

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CPO01874 (WA)

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Registry record

NPI: 1033360409
Entity type: Organization
NPI issued: 3 Oct 2008
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.