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Leo Danny Dipiprima

Prosthetic/Orthotic Supplier in Rome, GA. Organization (NPI-2).

NPI number1891749321
StatusActive
Last updated in NPPESMay 1, 2013

Details

NPI
1891749321
Entity type
Organization (NPI-2)
Legal business name
Leo Danny Dipiprima
Organization subpart
No
Enumeration date
May 20, 2006
Last updated
May 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier20140–Yes
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––

Practice location

931 N 2nd Ave Nw
Rome, GA 30165-2501

Phone 706-291-7457

Mailing address

931 N 2nd Ave Nw
Rome, GA 30165-2501

Phone 706-291-7457

Authorized official

Leo D Diprima
Owner
7062917457

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