MEDICARE: ARIZONA PROSTHETIC ORTHOTIC SERVICES 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
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1851340251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA PROSTHETIC ORTHOTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 27215
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-0136
Country	:	US
Telephone Number	:	602-448-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	4955 E BELL RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-6004
Country	:	US
Telephone Number	:	602-485-8400
Fax Number	:	602-485-8401

Authorized Official
Title or Position	:	OWNER/PRACTIONER
Name	:	MR. RON GOLDSTEIN
Credential	:	C.P.O.,FAAOP
Telephone Number	:	602-485-8400

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	02/19/2024

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