Organization · Type 2 NPI
Raymond Gilligan JR
Prosthetic/Orthotic Supplier · Fairbanks, AK
Practice location
3517 Industrial Ave
Fairbanks, AK 99701-7737
Fax (907) 452-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | None listed |
| 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.
Another provider at this address
Other prosthetic/orthotic supplier providers in Fairbanks
About NPI 1326506882
Raymond Gilligan JR's National Provider Identifier is 1326506882, issued on Mar 4, 2019. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 5, 2021.