| NPI | 1306946678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NEWTON CORNWELL Owner 405-282-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-05-04 |