NPI | 1073634127 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFFORD W MAHAFFEY President/ Owner/ Op 806-358-2343 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 129) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-05-24 |