| NPI | 1417252602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J PAGANO Partner 314-567-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2015-06-04 |