ROBERT WAYNE

WADDELL, AZ
NPI1477050615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
(Licence: AZ  C15463)
Enumeration Date2018-04-12
Last Update Date2020-10-22
Business Address
ROBERT WAYNE B.O.C.O
18140 W PURDUE AVE
WADDELL, AZ 85355-4237
Phone number: 602-320-4521
Mailing Address
ROBERT WAYNE B.O.C.O
18140 W PURDUE AVE
WADDELL, AZ 85355-4237
Phone number: 602-320-4521