NPI 1043769169
Medsource Orthotics & Prosthetics, INC
Practice location
- Address
- 13203 N 103rd Ave STE J1&j2, Sun City, AZ 85351
- Phone
- (602) 395-3354
- Fax
- (602) 395-3361
- Mailing address
- 3636 North 3rd Avenue Suite 100, Phoenix, AZ 85013-3904
Authorised official
- Name
- David Charles
- Title
- President
- Phone
- (801) 890-6824
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1043769169
- Entity type
- Organization
- NPI issued
- 30 Sep 2016
- Record last updated
- 14 Sep 2018
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.