NPI | 1417509910 |
---|---|
Doing Business As | HEARTLAND O&P |
Entity Type | Organization |
Authorized Contact | BRANDON LEE SMITH Owner 785-375-7458 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2019-07-15 |
Last Update Date | 2023-11-27 |