| NPI | 1043482664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY CLAYTON MCNEELY Doctor Of Poditaric Medicine 806-744-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |