| NPI | 1346290996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H TAEGER Director 319-768-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000124) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 203.000134) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-07-30 |