Organization Name: | CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION INC |
NPI Number: | 1013117845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID JACOFSKY (CHAIRMAN) |
Mailing Address: | 42104 N Venture Dr Suite D118 Anthem |
State: | AZ US |
Postal Code: | 850863823 |
Phone Number: | 6235375600 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |