NPI 1275605461

Medsource Orthotics & Prosthetics

Organisation Prosthetic/Orthotic Supplier Phoenix, AZ

Practice location

Address: 9305 W. Thomas Rd Suite 150, Phoenix, AZ 85037
Phone: (623) 738-0301
Fax: (602) 395-3361
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

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Registry record

NPI: 1275605461
Entity type: Organization
NPI issued: 14 Nov 2006
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.