| NPI | 1205004686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WENDEL AARON Podiatrist/Owner 307-382-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 72) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |