| NPI | 1396756987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HOWARD MARSHALL Owner, President 505-326-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-02-16 |