NPI 1245724822

Medsource Orthotics & Prosthetics, INC

Organisation Prosthetic/Orthotic Supplier Mesa, AZ

Practice location

Address: 1450 S Dobson Rd STE B326, Mesa, AZ 85202
Phone: (602) 395-3354
Fax: (888) 828-8290
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

Suppliers Taxonomy 335E00000X Licence 21067439 (AZ)

Other Prosthetic/Orthotic Supplier providers in Arizona →

Registry record

NPI: 1245724822
Entity type: Organization
NPI issued: 18 Jun 2018
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.