Organization · Type 2 NPI

Medsource Orthotics & Prosthetics

Prosthetic/Orthotic Supplier · Phoenix, AZ

NPI number 1275605461 Active

Practice location

9305 W. Thomas Rd, Suite 150
Phoenix, AZ 85037

Call (623) 738-0301 Map

Fax (602) 395-3361

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None 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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NPI record

NPI: 1275605461
Entity type: Organization (Type 2)
Issued: Nov 14, 2006
Last updated: May 15, 2018
Status: Active
Subpart: Yes of Medsource Orthotics & Prosthetics

Other names

<unavail>
Hamilton Prosthetic Center · doing business as
Hamilton Prosthetic Center · doing business as

Authorized official

David Charles
President
(801) 255-5202

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About NPI 1275605461

Medsource Orthotics & Prosthetics's National Provider Identifier is 1275605461, issued on Nov 14, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 15, 2018.