NPI 1477050615

Robert Wayne, BOCO

Practitioner Orthotist Waddell, AZ

Practice location

Address: 18140 W Purdue Ave, Waddell, AZ 85355-4237
Phone: (602) 320-4521

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C15463 (AZ)

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Registry record

NPI: 1477050615
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2018
Record last updated: 22 Oct 2020

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.