| NPI | 1043328214 |
|---|---|
| Other Name | TRIAD O&P |
| Entity Type | Organization |
| Authorized Contact | PAUL ANDREW MANSFIELD Owner 336-712-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2017-08-11 |