NPI 1770535759

Innovative Prosthetic Designs LLC

Organisation Prosthetic/Orthotic Supplier Columbus, MS

Practice location

Address: 523 Lincoln Rd, Columbus, MS 39705-2225
Phone: (662) 240-9700
Fax: (662) 240-9928
Mailing address: PO Box 689, Amory, MS 38821-0689

Authorised official

Name: John Vincent Ungaro
Title: President
Phone: (662) 240-9700

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1770535759
Entity type: Organization
NPI issued: 17 May 2006
Record last updated: 1 Apr 2008

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.