Healthcare Provider Details

I. General information

NPI: 1992693402
Provider Name (Legal Business Name): ARTHRO THERAPEUTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 ETHEL AVE
MILL VALLEY CA
94941-2731
US

IV. Provider business mailing address

257 ETHEL AVE
MILL VALLEY CA
94941-2731
US

V. Phone/Fax

Practice location:
  • Phone: 415-302-0456
  • Fax:
Mailing address:
  • Phone: 415-302-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: RICH WALDRON
Title or Position: VP
Credential:
Phone: 415-302-0456