| NPI | 1093945339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL NALDER Partner 719-577-2533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2011-10-19 |