NPI | 1417147968 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE E SIMPSON Owner 870-935-4825 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2007-07-31 |
Last Update Date | 2007-07-31 |