NPI 1427321769

Custom Carbon Composite Creations

Organisation Prosthetic/Orthotic Supplier Reno, NV

Practice location

Address: 6490 S McCarran Blvd Suite D-38, Reno, NV 89509-6165
Phone: (775) 823-9669
Fax: (775) 823-9931

Authorised official

Name: Eddie Rogers
Title: President
Phone: (209) 845-2930

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Nevada →

Registry record

NPI: 1427321769
Entity type: Organization
NPI issued: 16 Feb 2012
Record last updated: 16 Feb 2012

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.