NPI | 1114276052 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL EDWARD STEUER Owner/President 901-624-6517 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TN 35059) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-09-06 |
Last Update Date | 2017-04-25 |