| NPI | 1174864763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NOAH PARKS Managing Member 918-494-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2020-08-10 |