Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT WAYNE, B.O.C.O
Active Sole ProprietorROBERT WAYNE, B.O.C.O is a Orthotist healthcare provider located in WADDELL, Arizona. NPI 1477050615 is currently active in the NPPES registry. Verify at CMS.
Orthotist · WADDELL, AZ
Registration Details
- NPI Number
- 1477050615
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2018 (8.3596281590962 yrs)
- Last Updated
- Oct 22, 2020
- License
-
C15463 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18140 W PURDUE AVEWADDELL, AZ, 853554237Browse AZ providers · Browse ZIP 85355
- Phone
- 6023204521
- Primary Specialty
-
Orthotist
222Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.