| NPI | 1114002219 |
|---|---|
| Other Name | GALLUP ARTIFICIAL LIMB AND BRACE CO INC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN MARSHALL President/Owner 505-722-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: CP002174) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-01-25 |