NPI 1053859009
Prosthetic & Orthotic Group - Southern Colorado, LLC
Practice location
- Address
- 1310 Fortino Blvd STE B, Pueblo, CO 81008-2076
- Phone
- (719) 542-1313
- Fax
- (719) 542-9140
- Mailing address
- PO Box 650846, Dallas, TX 75265-0846
Authorised official
- Name
- Grace Angeline
- Title
- Reg Comp Analyst II
- Phone
- (714) 961-2102
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1053859009
- Entity type
- Organization
- NPI issued
- 9 Feb 2017
- Record last updated
- 4 Apr 2025
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.