Organization · Type 2 NPI

Medsource Orthotics & Prosthetics, Inc

Prosthetic/Orthotic Supplier · Mesa, AZ

NPI number 1245724822 Active

Practice location

1450 S Dobson Rd Ste B326
Mesa, AZ 85202

Call (602) 395-3354 Map

Fax (888) 828-8290

Mailing address

3636 N 3rd Ave Ste 100
Phoenix, AZ 85013-3938

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X21067439 (AZ)

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 1245724822

Medsource Orthotics & Prosthetics, Inc's National Provider Identifier is 1245724822, issued on Jun 18, 2018. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mesa, AZ. The record was last updated on Sep 14, 2018.