| NPI | 1154786929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WANLASS President 702-367-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NV 2287) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |