| NPI | 1205026960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WILKES-JARVIS Owner Manager 702-457-3200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-10-21 |