NPI 1114002219

Gallup Limb and Brace Co INC

Organisation Prosthetist Gallup, NM

Practice location

Address: 927 West Aztec Avenue, Gallup, NM 87301
Phone: (505) 722-5756
Fax: (505) 722-6726

Authorised official

Name: Justin Marshall
Title: President/Owner
Phone: (505) 722-5756

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CP002174

Other Prosthetist providers in New Mexico →

Registry record

NPI: 1114002219
Entity type: Organization
NPI issued: 26 Oct 2006
Record last updated: 25 Jan 2024

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.