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NPI Code Detail

MEDICARE: DYNAMICBRACINGSOLUTIONS, INC.

MEDICARE: DYNAMICBRACINGSOLUTIONS, INC.
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

General Provider Information

NPI Number : 1720311897
Entity Type Code : Organization
Provider Name (Legal Business Name) : DYNAMICBRACINGSOLUTIONS, INC.
Provider Business Mailing Address
First Line : PO BOX 235267
Second Line :
City : ENCINITAS
State : CA
Zip : 92023-5267
Country : US
Telephone Number : 619-972-3853
Fax Number : 760-798-0377
Provider Business Practice Location Address
First Line : 4373 VIEWRIDGE AVE
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92123-1619
Country : US
Telephone Number : 619-972-3853
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. MARMADUKE DAVID LOKE
Credential :
Telephone Number : 619-972-3853
Provider Enumeration Date : 09/08/2009
Last Update Date : 09/08/2009

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Directions to “DYNAMICBRACINGSOLUTIONS, INC. ” Practice Location

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