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NPI Code Detail

MEDICARE: ARTISAN PROSTHETICS LLC

MEDICARE: ARTISAN PROSTHETICS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265616643
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTISAN PROSTHETICS LLC
Provider Business Mailing Address
First Line : 1131 E HIGHLAND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-3639
Country : US
Telephone Number : 602-667-7827
Fax Number : 602-667-7826
Provider Business Practice Location Address
First Line : 4501 N 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3339
Country : US
Telephone Number : 602-667-7827
Fax Number : 602-667-7826
Authorized Official
Title or Position : OWNER
Name : MR. STEPHEN MITCHELL MCNAMEE
Credential : CP
Telephone Number : 602-667-7827
Provider Enumeration Date : 12/20/2007
Last Update Date : 01/30/2023

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Directions to “ARTISAN PROSTHETICS LLC ” Practice Location

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