Organization · Type 2 NPI

Dixie A. Fullerton

Prosthetic/Orthotic Supplier · Las Vegas, NV

NPI number 1336296979 Active

Practice location

1618 E Charleston Blvd
Las Vegas, NV 89104-1826

Fax (702) 384-4416

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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About NPI 1336296979

Dixie A. Fullerton's National Provider Identifier is 1336296979, issued on Jan 5, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 23, 2012.