| NPI | 1235144619 |
|---|---|
| Former Legal Business Name | TREVOR DALE MUNGER, CPO/MUNGER PROSTHETICS AND ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | TREVOR DALE MUNGER President 907-743-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE CPO 1700) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |