NPI 1104968288
Medsource Orthotics & Prosthetics
Practice location
- Address
- 14821 N del Webb Blvd Suite 24, Sun City, AZ 85351
- Phone
- (623) 815-1001
- Fax
- (623) 815-1441
- Mailing address
- 3636 N 3rd Ave STE 100, Phoenix, AZ 85013-3938
Authorised official
- Name
- David Charles
- Title
- President
- Phone
- (801) 255-5202
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1104968288
- Entity type
- Organization
- NPI issued
- 13 Feb 2007
- Record last updated
- 15 May 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.