| NPI | 1184339574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN M NEWTON President/Owner 661-323-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |