| NPI | 1003045436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL DOERR Owner 314-262-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO B00326665) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2018-10-26 |