EVERGREEN PROSTHETICS AND ORTHOTICS, LLC

Prosthetic/Orthotic Supplier

Active Organization
NPI: 1619508702

Practice Address

1500 E HERITAGE PARK ST STE 100
Meridian, ID 83646

Phone: (208) 884-1294

Specialties

Specialty Code Primary License
Prosthetic/Orthotic Supplier 335E00000X Yes -

Frequently Asked Questions

NPI 1619508702 is the National Provider Identifier for EVERGREEN PROSTHETICS AND ORTHOTICS, LLC, a Prosthetic/Orthotic Supplier provider located in Meridian, ID. This NPI was enumerated on January 28, 2020.

Quick Facts

NPI
1619508702
Type
Organization
Enumerated
Jan 28, 2020
Last Updated
Nov 22, 2023

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