NPI 1912515776

Ronnell Anthony Upshur, CPO

Practitioner Prosthetist Wilmington, DE

Practice location

Address: 1107 McKennans Church Rd, Wilmington, DE 19808-2128
Phone: (734) 620-7595

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1912515776
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2020
Record last updated: 17 Jul 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.