NPI 1124209820

Orthopro of Lewiston INC

Organisation Prosthetic/Orthotic Supplier Lewiston, ID

Practice location

Address: 823 16th Ave, Lewiston, ID 83501-3733
Phone: (208) 798-0200
Fax: (208) 798-0201

Authorised official

Name: Marshall R Black
Title: Owner
Phone: (208) 798-0200

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1124209820
Entity type: Organization
NPI issued: 21 Nov 2007
Record last updated: 27 Sep 2016

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.