NPI | 1063440584 |
---|---|
Doing Business As | PATTON MEDICAL OF THE GULF COAST INC |
Entity Type | Organization |
Authorized Contact | WILLIAM KEITH WADE Owner 228-872-8685 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2006-06-30 |
Last Update Date | 2011-04-05 |