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NPI Profile for MARK CHIMENTO in BROKEN ARROW, OK.
An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1497883391 |
|
| Status | Active | |
| Credentials | CP, LPO | |
| Entity | Individual | |
| Enumeration date | 03/01/2007 | |
| Last updated | 02/14/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARK CHIMENTO
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MARK CHIMENTO, CP, LPO