Organization Name: | PONGRATZ ORTHOTICS & PROSTHETICS, INC. |
NPI Number: | 1669459749 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLE ANN GUISE (HR/CONTRACTS MANAGER) |
Mailing Address: | 595 N Dobson Rd Suite B32 Chandler |
State: | AZ US |
Postal Code: | 852244226 |
Phone Number: | 4802824499 |
Fax Number: | 4806151117 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |