| NPI | 1043251762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD REINER President 870-931-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-12-29 |