Organization · Type 2 NPI

Medsource Orthotics & Prosthetics, Inc

Prosthetic/Orthotic Supplier · Sun City, AZ

NPI number 1043769169 Active

Practice location

13203 N 103rd Ave Ste J1&J2
Sun City, AZ 85351

Fax (602) 395-3361

Mailing address

3636 North 3rd Avenue, Suite 100
Phoenix, AZ 85013-3904

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1043769169

Medsource Orthotics & Prosthetics, Inc's National Provider Identifier is 1043769169, issued on Sep 30, 2016. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Sun City, AZ. The record was last updated on Sep 14, 2018.