Healthcare Provider Details

I. General information

NPI: 1326203068
Provider Name (Legal Business Name): DANIEL DAVID RAMSEY C.P.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 LA CANADA ST ROOM 230
LAS VEGAS NV
89169-2578
US

IV. Provider business mailing address

PO BOX 360001 ATT. PROSTHETICS (121)
NORTH LAS VEGAS NV
89036-8108
US

V. Phone/Fax

Practice location:
  • Phone: 702-636-3000
  • Fax: 702-636-2064
Mailing address:
  • Phone: 702-636-3063
  • Fax: 702-636-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO868
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO868
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: