| NPI | 1417798182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PAULA HURWITZ Member 303-233-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |