| NPI | 1003064916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUSSELL ALLEN Certified Prosthetist/Owner 303-263-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |