NPI | 1063405991 |
---|---|
Entity Type | Organization |
Authorized Contact | ZLATKO LARRY HODIN President 775-336-1814 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA C15786) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00525) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2010-07-14 |