NPI Provider: 1841296340
Contact Name: Whitehurst Nicole Cynthia
Position: Sec/Tres, Manager
Phone: (812) 479-7577
Riverside Prosthetics, Inc. Information:
Riverside Prosthetics, Inc. organization have npi 1841296340, taxonomy code is 222Z00000X with license number is CPO 1886 in . This Business address located in 5921 Vogel Rd, Evansville, IN 47715 Indiana.
Practice Location
Address: 5921 Vogel Rd, Evansville, IN 47715
Phone: (812) 479-7577
Business Location
Address: 5921 Vogel Rd, Evansville, IN 47715
Phone: (812) 479-7577
Fax: (812) 479-7595
Taxonomy
Taxonomy Code: 222Z00000X
License Number: CPO 1886
License Number of State: VA
Primary Taxonomy Switch: X
Enumeration Date: 6/21/2005
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