NPI | 1154545945 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MARIO CALDERONE Certified Pedorthist 970-243-4777 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |