NPI | 1184991325 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN HIGHAM President 702-629-6818 |
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 | 2011-11-16 |
Last Update Date | 2011-11-16 |