Provider Demographics
NPI:1215104880
Name:ARROW ARTIFICIAL LINB AND BRACE INC
Entity type:Organization
Organization Name:ARROW ARTIFICIAL LINB AND BRACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOTIST/PROSTHETIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARRUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-367-4714
Mailing Address - Street 1:651 WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2928
Mailing Address - Country:US
Mailing Address - Phone:801-367-4714
Mailing Address - Fax:
Practice Address - Street 1:651 WOODS CIR
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2928
Practice Address - Country:US
Practice Address - Phone:801-367-4714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
1271170001Medicare NSC